减张保护会阴术式在分娩难产中的应用效果分析

Analysis of the effect of reducing tension and protecting perineum operation on dystocia of parturient with vaginal delivery

目的 探讨减张保护会阴术式在阴道分娩产妇难产中的应用效果。方法 回顾性分析2020年7月至2022年12月于本院阴道分娩的难产产妇146例的临床资料,依据保护会阴方式不同,分为观察组与对照组,分别73例。对照组使用常规保护会阴方式,观察组使用减张保护会阴术式。随访6个月后,比较两组术后会阴损伤情况、会阴疼痛情况、新生儿与产妇并发症发生情况及术后6个月的性功能情况。结果 观察组会阴侧切状况及VAS评分明显低于对照组(P<0.05);观察组新生儿及产妇并发症发生率分别为4.11%、9.59%,均明显低于对照组的15.07%、23.29%(P<0.05);术后6个月,观察组性欲望、性行为、性生活质量及总评分均明显高于对照组。结论 减张保护会阴术式在阴道分娩产妇难产中应用能有效改善产妇的会阴损伤及疼痛状况,降低新生儿及产妇并发症发生率,同时还能改善产妇性功能状况,值得推广应用。

Objective To investigate the effect of reducing tension and protecting perineum operation on dystocia of parturients in vaginal delivery.Methods Clinical data of 146 cases of dystocia parturients who underwent vaginal delivery in our hospital from July 2020 to December2022 were retrospectively analyzed.According to different perineal protection methods,they were divided into observation group and control group,with 73 cases respectively.The patients in the control group were treated with conventional perineal protection,and in the observation group were treated with tensioning perineal protection.After 6 months of follow-up,perineal injury,perineal pain,neonatal condition,maternal condition and sex-ual function 6 months after surgery were compared between the two groups.Results The perineal lateral incision and VAS scores in the observation group were significantly lower than those in the control group(P<0.05).The incidence of neonatal complications and maternal complications in the ob-servation group were 4.11% and 9.59%,which were significantly lower than 15.07% and 23.29% in the control group( P<0.05).6 months after surgery,the sexual desire,sexual behavior,sexual life quality and total score of the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of reduction and protection of perineum operation in the dystocia of vaginal delivery can effectively improve the perineal injury and pain,reduce the incidence of neonatal and maternal complications,and also improve the status of maternal sexual function.