无保护分娩技术与会阴侧切术对产妇及新生儿的影响
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摘要
目的探讨无保护分娩技术与会阴侧切术对产妇及新生儿的影响。方法选择2017年1月至12月于本院分娩的初产妇126例作为研究对象,依据分娩方式的不同分为对照组和观察组,对照组60例接受会阴侧切术,观察组66例接受无保护分娩技术。观察两组会阴裂伤程度、产后疼痛程度、产程时间、产后出血量、缝合时间、产后性生活质量及新生儿窒息情况等。结果观察组缝合时间少于对照组,视觉模拟评分(VAS)低于对照组,女性性功能指数(FSFI)评分高于对照组,差异有统计学意义(P<0.05);两组产程时间(第一、第二)、产后出血量、Apgar评分对比,差异无统计学意义(P>0.05);观察组会阴Ⅰ度、Ⅱ度裂伤发生率高于对照组,Ⅲ度裂伤发生率低于对照组,差异均有统计学意义(P<0.05)。结论无保护分娩技术有助于降低产妇产后疼痛及会阴裂伤程度,促进产后性生活质量的恢复,不增加产后出血量、新生儿窒息率及产程时间。
Objective To investigate the effect of unprotected delivery technique and lateral episiotomy on pregnant women and newborns.Methods A total of 126 primiparas from January 2017 to December 2017 were selected and divided into two groups according to delivery modes.A total of 60 pregnant women with lateral episiotomy were taken as the control group,and 66 pregnant women with unprotected delivery technique were taken as the observation group.The degree of perineal laceration,postpartum pain degree,birth process time,postpartum bleeding volume,suture time,postpartum sexual life quality,neonatal asphyxia were compared between the two groups.Results The suture time of observation group was less than control group,the visual analogue scale(VAS)in observation group was lower than control group,the female sexual function index(FSFI)in observation group was higher than control group(P<0.05).There was no statistical difference in the birth process time(first and second),postpartum bleeding volume,Apgar score between the two groups(P>0.05).The rate of degreeⅠandⅡperineal laceration in observation group were higher than control group,the rate of degreeⅢ perineal laceration in observation group was lower than control group(P<0.05).Conclusion Unprotected delivery technique for pregnant women can decrease postpartum pain and perineal laceration,promote recovery of postpartum sexual life quality,and not increase postpartum bleeding volume,neonatal asphyxia rate and birth process time.
Objective To investigate the effect of unprotected delivery technique and lateral episiotomy on pregnant women and newborns.Methods A total of 126 primiparas from January 2017 to December 2017 were selected and divided into two groups according to delivery modes.A total of 60 pregnant women with lateral episiotomy were taken as the control group,and 66 pregnant women with unprotected delivery technique were taken as the observation group.The degree of perineal laceration,postpartum pain degree,birth process time,postpartum bleeding volume,suture time,postpartum sexual life quality,neonatal asphyxia were compared between the two groups.Results The suture time of observation group was less than control group,the visual analogue scale(VAS)in observation group was lower than control group,the female sexual function index(FSFI)in observation group was higher than control group(P<0.05).There was no statistical difference in the birth process time(first and second),postpartum bleeding volume,Apgar score between the two groups(P>0.05).The rate of degreeⅠandⅡperineal laceration in observation group were higher than control group,the rate of degreeⅢ perineal laceration in observation group was lower than control group(P<0.05).Conclusion Unprotected delivery technique for pregnant women can decrease postpartum pain and perineal laceration,promote recovery of postpartum sexual life quality,and not increase postpartum bleeding volume,neonatal asphyxia rate and birth process time.
引文
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[11]喻茂娟.无保护分娩术在单胎初产妇分娩中的应用效果[J].中国妇幼保健,2017,32(10):2243-2245.
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[2]尹洪花,卢艳霞,朱丙烟,等.产妇会阴侧切术后感染危险因素与预防措施[J].中华医院感染学杂志,2016,26(1):158-160.
[3]李绪慧.McRobert体位联合无保护会阴技术在促进自然分娩中的应用[J].实用临床医药杂志,2017,21(18):94-96.
[4]李晓瑞,姚琴,朱丽红.自然分娩中会阴无保护接生技术母婴结局的病例对照研究[J].护理学报,2016,23(21):5-8.
[5]王芳,周丹,邢梅.无保护会阴接生技术与控制胎头娩出方案对母婴结局的影响[J].检验医学与临床,2016,13(10):1418-1420.
[6]胡清,张玉,夏志军,等.不同分娩方式与产后早期盆底肌电值、肌力变化关系研究[J].中国实用妇科与产科杂志,2017,33(12):1288-1292.
[7]伯秋芳,张轶岚,胡文娟,等.无保护会阴接生技术联合控制胎头娩出方案在阴道分娩中的效果分析[J].中国妇幼健康研究,2017,28(6):636-638.
[8]田滢.无保护分娩助产法对初产妇会阴侧切率及生活质量的影响[J].实用临床医药杂志,2016,20(12):123-126.
[9]胡静,肖红,邹颖,等.无保护会阴分娩技术用于初产妇会阴分娩效果的Meta分析[J].中华护理杂志,2016,51(4):413-419.
[10]舒恋婷,孙霞.会阴无保护分娩的临床效果及安全性[J].中国妇幼健康研究,2016,27(7):872-874.
[11]喻茂娟.无保护分娩术在单胎初产妇分娩中的应用效果[J].中国妇幼保健,2017,32(10):2243-2245.
[12]顾晓霞,于红,闵捷.无保护分娩技术对产后性功能的影响研究[J].现代医学,2016,44(6):868-871.