指法无保护会阴接生法的临床效果观察与护理

Clinical effect observation and nursing of puerperas with unprotected perineum midwives

目的探讨阴式分娩中无保护会阴接生法的临床应用效果。方法选择本院正常分娩的初产妇80例,随机分为2组,每组40例。观察组采用指法无保护会阴接生,对照组采用传统保护会阴方法接生。比较2组产妇会阴侧切率、会阴阴道裂伤率及会阴疼痛情况。结果观察组的会阴侧切率为30%,会阴中度疼痛率为7.5%;对照组的会阴侧切率为80%,会阴中度疼痛率为32.5%。观察组会阴侧切率及会阴疼痛均显著优于对照组(P<0.05)。结论指法无保护接产与传统的保护性接产相比较,能降低初产妇会阴侧切率,减轻产妇会阴疼痛,提高产妇的舒适度,值得临床推广与应用。

Objective To explore the clinical efficacy of unprotected perineum midwives in puerperas with vaginal delivery. Methods A total of 80 primiparas with normal delivery were se- lected and randomly divided into two groups, 40 cases in each group. Observation group was con- ducted with unprotected perineum midwives, while control group was conducted with the conven- tional protective perineum midwives. Rate of lateral episiotomy, rate of vaginal laceration of perineum and condition of perineal pain were compared between two groups. Results In the observa- tion group, the rate of lateral episiotomy was 30 %, and the moderate pain rate of perineum was 7.5 %. In the control group, the rate of lateral episiotomy was 80 %, and the moderate pain rate of perineum was 32.5 %. The rate of lateral episiotomy and condition of perineal pain in the observa- tion group were significantly better than those in the control group （P 〈 0.05 ）. Conclusion Com- pared with the conventional protective perineum midwives, unprotected perineum midwives can re- duce the rate of lateral episiotomy in primiparas, alleviate the perineal pain and improve comfortable degree, so it is worthy of clinical popularization and application.