低危初产妇采用限制性会阴切开术的临床效果观察

The clinical effect of restricted episiotomy in low risk primipara

目的为探讨低危初产妇采用限制性会阴切开术的临床实际效果。方法 2014年12月-2015年6月,深圳市第六人民医院临床收治的低危初产妇152例为研究对象。根据产妇是否予以限制性会阴切开分成观察组和对照组,每组产妇76例,分别给予限制性会阴切开术和不限制性会阴切开术。观察并比较两组产妇的会阴切开情况和恢复情况。结果 1观察组(21.05%)的会阴切开率显著低于对照组(72.37%),观察组(32.89%)会阴完整率显著高于对照组(11.84%),观察组会阴裂伤I度发生率显著高于对照组,差异有统计学意义(P<0.05);2观察组的性生活恢复时间低于对照组,观察组的性交痛发生率水平低于对照组,且组间数据比较差异具有显著统计学意义(P<0.05)。结论针对低危初产妇实施限制性会阴切开术可以有效保护产妇的会阴损伤,有效提升产妇产后恢复进程,是临床实践过程中理想选择方式。

Objective To explore the clinical effect of restricted episiotomy in low risk primipara. Methods During December2014 to June 2015,152 low risk primipara who were in hospital in the Sixth People＇s Hospital of Shenzhen were selected as the research object,and they were divided into observation group and control group according to whether they were restricted episiotomy,76 cases in each group. They were given the restricted episiotomy and non restricted episiotomy. The episiotomy situation and recovery of primipara were observed and compared. Results 1The episiotomy rate of observation group（ 21. 05%） was significantly lower than that of control group（ 72. 37%）,the perineal integrity rate of observation group（ 32. 89%） was significantly higher than that of control group（ 11. 84%）,the perineal laceration degree I occurrence rate of observation group was significantly higher than that of control group; 2The sexual life recovery time and the incidence of dyspareunia of observation group were significantly lower than that of control group. Conclusion To implement restricted episiotomy among low-risk primiparae can effectively protect their perineal injury,and can improve their postpartum recovery process effectively,it is a ideal way for clinical practice.