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目的评估无保护会阴接生技术对母婴结局及医疗资源利用的影响。方法将2014年1月-12月嘉善县中医院妇产科住院阴道分娩的初产妇356名随机分为观察组(180人)和对照组(176人),分别采用无保护会阴接生技术接生和保护会阴接生技术接生,观察两组产妇会阴完整、会阴侧切、新生儿Apgar评分、住院时间、住院费用等情况。结果观察组和对照组产妇会阴完整率分别为36.1%和21.0%、会阴侧切率分别为10.0%和30.7%,两组产妇会阴完整率、侧切率比较差异有统计学意义(P<0.005);观察组和对照组产妇住院时间分别为(3.01±0.34)d和(4.31±0.68)d、住院费用分别为(2 649.33±254.08)元和(3 436.17±365.28)元,两组产妇住院时间、住院费用比较差异有统计学意义(P<0.05);两组产妇新生儿Apgar评分比较差异无统计学意义(P>0.10)。结论无保护会阴接生技术能够提高产妇会阴完整率,有效降低产妇的会阴侧切率,减少总住院时间和住院费用。
Objective To assess the impact of unprotected perineal intercourse on maternal and infant outcomes and the utilization of medical resources. Methods 356 cases of primipara from January 2014 to December 2014 in jiaoshan county hospital of traditional Chinese medicine were randomly divided into observation group (180 persons) and control group (176 persons), respectively, by unprotected perineal birth delivery and Protection of perineal delivery of technical delivery, observation of two groups of perineal intact, episiotomy, Apgar score, length of stay, hospitalization costs and so on. Results The perineal complete rate in the observation group and the control group were 36.1% and 21.0%, and the episiotomy rates were 10.0% and 30.7% respectively. There was significant difference in perineal perineal completeness and unilateral cross between two groups (P <0.005). The maternal hospitalization time was (3.01 ± 0.34) days and (4.31 ± 0.68) days respectively in the observation group and the control group, and the hospitalization costs were (2 649.33 ± 254.08) yuan and (3 436.17 ± 365.28) yuan respectively. The maternal hospitalization time, There was significant difference in hospitalization costs between the two groups (P <0.05). There was no significant difference in Apgar score between two groups (P> 0.10). Conclusions The unprotected perineal intercourse technique can improve the intact rate of perineum and effectively reduce the perineal lateral incision rate and reduce the total length of hospital stay and hospitalization costs.