新式无保护会阴接生技术的临床效果分析

Analysis of clinical effect of new unprotected perineum delivery technique

目的:探讨新式无保护会阴接生技术的临床应用效果。方法:以2018年10月至2018年11月采用新式无保护会阴接生技术分娩的173例初产妇作为观察组,以2018年8月至2018年9月采用传统保护会阴接生技术的初产妇170例作为对照组,比较两组初产妇会阴侧切率、会阴裂伤情况及分娩后出血量、第二产程时间。结果:观察组会阴完整率及会阴Ⅰ度裂伤发生率均高于对照组,会阴侧切率及会阴Ⅱ度裂伤发生率均低于对照组,差异具有统计学意义(P<0.05);观察组分娩后2h内出血量及第二产程时间与对照组比较差异不具有统计学意义(P>0.05)。结论:新式无保护会阴接生技术可明显降低初产妇会阴侧切率及会阴裂伤程度,且无不良分娩结局,使分娩回归自然,提高了分娩质量。

Objective:To explore the clinical application effect of the new unprotected perineum delivery technique.Methods:The observation group took 173 cases of primary mothers who had delivered with the new unprotected perineum delivery technique from October 2018 to November 2018,and the control group took 170 cases of primary mothers who had used the traditional protected perineum delivery technique from August 2018 to September 2018.Comparison of perineum lateral incision rate,perineum laceration,bleeding volume after delivery and second labor time in two primary mothers.Results:The percentage of perineum integrity and the incidence of perineum I-degree laceration were higher in the observation group than in the control group,and the incidence of perineum lateral laceration and perineum I-degree laceration were lower in the control group.The difference was statistically significant(P<0.05);There was no significant difference between the 2h internal hemorrhage and the second labor time in the observation group and the control group(P>0.05).Conclusion:The new type of unprotected perineum delivery technique can significantly reduce the perinealtomy rate and the degree of perineolysis laceraton,and there is no adverse outcome of childbirth,so that the delivery returnis to nature and improves the quality of delivery,which is worth clinical promotion.