论文部分内容阅读
目的分析改良式低位产钳联合无保护会阴助产技术在临床中的效果。方法回顾性分析厦门大学附属第一医院2013年1月-2016年7月采用改良式低位产钳联合无保护会阴助产的86例初产妇临床资料(观察组),并与同期常规会阴侧切行低位产钳术助产的86例初产妇(对照组)相比较,观察两组产妇及新生儿并发症情况。结果观察组会阴Ⅰ度裂伤19例,Ⅱ度裂伤65例,对照组Ⅱ度裂伤84例,两组有统计学意义(P<0.05)。Ⅲ度裂伤两组各发生1例,差异无统计学意义(P>0.05)。观察组会阴严重疼痛程度与尿潴留发生率均低于对照组(P<0.05)。放置产钳至胎儿娩出时间、会阴伤口感染、新生儿并发症两组间比较,差异无统计学意义(P>0.05)。结论改良式低位产钳联合无保护会阴助产,会阴裂伤减轻,伤口愈合快,对新生儿无不良影响,提高了阴道分娩质量,具有安全性和可行性。
Objective To analyze the effect of modified low forceps combined with unprotected perineal midwifery in clinical practice. Methods A retrospective analysis of 86 cases of primiparae in the First Affiliated Hospital of Xiamen University from January 2013 to July 2016 was performed with modified low forceps combined with unprotected perineal midwifery (observation group) Eighty-six cases of primipara (control group) were compared by forceps and midwifery to observe the complications of both maternal and neonatal groups. Results In the observation group, 19 cases of perineal first degree laceration, 65 cases of grade Ⅱ laceration, and 84 cases of Ⅱ degree laceration in control group had statistical significance (P <0.05). Grade Ⅲ laceration in each of two groups occurred in 1 case, the difference was not statistically significant (P> 0.05). Severe perineal pain and urinary retention in observation group were lower than those in control group (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusions Modified low forceps combined with unprotected perineal midwifery can reduce the incidence of perineal laceration and wound healing, have no adverse effect on the newborn and improve the quality of vaginal delivery, which is safe and feasible.