摘要
目的:探讨分娩期预测会阴体长度及弹性度的临床效果。方法:选择320例经阴道分娩的足月初产妇,随机分为两组,两组产妇身体素质良好,无任何并发症及明显阴道炎性病变,年龄、身高、胎儿体重、胎方位无明显差别。观察组行会阴体长度和弹性度的观察。对照组常规处理,若会阴弹性好,会阴体长度在3～7cm之间,可予以充分扩张产道,注意保护会阴,不行会阴切开;若会阴弹性差,会阴体长度<3cm或>7cm时,及早做好会阴侧切准备,自会阴后联合中线或会阴5点左右处作为切口起点,采取15°～40°,2～4cm长的左斜侧切法。对照组以会阴后连线中点作为切口起点,≥45°,4～5cm长的左斜侧切。比较两组从阴道分娩会阴情况、切口出血量、会阴切口舒适度、切口愈合及住院时间。结果:观察组产妇会阴侧切率为28.75%,Ⅰ°裂伤占62.50%;对照组会阴侧切率为78.75%,Ⅰ°裂伤占14.34%;差异具有统计学意义(P<0.01)。观察组切口甲级愈合率明显优于对照组(P<0.01),会阴切口出血少、疼痛轻、住院时间短,与对照组比较差异有统计学意义(P<0.01)。结论:分娩期通过预测会阴体长度和弹性度,避免了盲目行会阴切开术,对必要的会阴切开应适时适度,有利于减轻局部疼痛,康复快,住院时间短,对提高母乳喂养率及产科质量有重要意义。
Objective： To study the clinical effect of forecasting the length and the elasticity degree of perinealbody for primipara during childbirth. Methods： 320 women who were primipara and had labored through vagina were random divided two groups. The length and elasticity degree of perinealbody of the women in observing group were observed. The women in control group were general handled. If the elasticity degree of perinealbody was fine and the length of perinealbody was 3 - 7 cm, the birth canal might be sufficiently dilated, the perineum incision needed not to do. If perineum elasticity was bad and the length of perinealbody was 〈 3 cm or 〉 7 cm, the perineum incision should be do. Then comparing the perineum condition, bleeding amounts, comfort degree of perineum cut, heal time and hospitalization time of the two groups. Results： In observing group the rate of perineum lateral incision was 28.75% , I＇lacerated wound of perineum accounted for 62. 50% ; In control group the rate of perineum lateral incision was 78. 75% , I＇ lacerated wound of perineum accounted for 14. 34% , the difference was remarkably （ P 〈 0. 01 ）. In observing group the bleeding amounts was fewer, the pain was lighter and the hospitalization time was shorter than those in control group, the difference was remarkably （ P 〈0. 01 ） . Conclusion： By forecasting the length and the elasticity degree of perinealbody for primipara during childbirth, we can avoid doing blindly the perineum incision. For the perineum incision, the size of incision should be appropriate measure. It is propitious to abate pain, quicken convalescence, shorten hospitalization time, and raise breast feeding rate and obstetric quality
出处
《中国妇幼保健》
CAS
北大核心
2010年第8期1039-1041,共3页
Maternal and Child Health Care of China
基金
山东省聊城市卫生局科研立项课题
聊城市科技局鉴定科研成果〔2008-069〕
关键词
分娩
会阴体
会阴切开术
自然裂伤
Delivery
Perinealbody
Episiotomy
Nature laceration
