改良式助产术对降低临床产妇会阴侧切率的影响效果与分析

目的探讨改良式助产术对降低临床产妇会阴侧切率的影响效果与分析。方法选取初产妇140例,按照随机数表法将患者均分为2组,各70例,分别为给予改良式助产术的观察组,和给予常规助产术的对照组,对2组患者的产后会阴撕裂情况及产后身体状况进行比较分析。结果观察组患者的会阴完整性比例为51.43%,侧切比例为27.14%,对照组为1.43%,侧切比例为64.29%,2组比较差异有统计学意义(P<0.05);观察组患者会阴Ⅰ度裂伤13例,占18.57%,对照组患者会阴Ⅰ度裂伤24例,占34.28%,明显高于观察组,2组比较,差异有统计学意义(P<0.05);会阴Ⅱ度裂伤的比例观察组为2.86%,对照组为1.43%,2组比较差异无统计学意义;且在产后出血量及住院天数方面比较,观察组明显优于对照组,2组比较差异有统计学意义(P<0.05);2组新生儿的状况均表现良好,差异无统计学意义。结论改良式助产术可明显降低产妇的侧切率,对减少产妇产后出血,促进产妇产后恢复有积极意义,值得在临床上进行广泛推广应用。

Objective To investigate the effect of modiifed midwifery and clinical analysis on reducing maternal episiotomy rates. Methods 140 cases, early maternal patients were divided into two groups according to a random number table method （n=70）. respectively, giving Modiifed midwifery observation group, and midwifery given conventional control group, two groups of patients with postpartum perineal tears and postpartum health conditions were compared. Results The proportion of patients with perineal integrity of 51.43%, lateral ratio of 27.14%, the control group was 1.43%, lateral ratio of 64.29%, the two groups, the difference was signiifcant, statistically signiifcant;observation groupⅠdegree perineal laceration in 13 cases, accounting for 18.57%, of patients in the control groupⅠdegree perineal laceration in 24 cases, accounting for 34.28%, signiifcantly higher than the observation group, the two groups, the difference was obvious, there was statistically signiifcant （P〈0.05）;and perineumⅡdegree laceration proportion was 2.86%in the observation group, the control group was 1.43%, the two groups, the difference was not statistically signiifcant, and compare the amount of postpartum bleeding and hospitalization days regard, the observation group was signiifcantly better than the control group, the difference was obvious, there was statistically signiifcant （P〈0.05）;neonatal health groups are performing well, the comparative statistical analysis, no signiifcant difference. Conclusion Modiifed midwifery can signiifcantly reduce the chance of maternal lateral, to reduce postpartum hemorrhage, promote maternal postpartum recovery has a positive meaning, worth in widespread clinical use.