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目的:分析在产妇分娩过程中,在胎头着冠时,会阴阻滞麻醉后,行会阴侧切术协助胎儿分娩与不使用会阴侧切术使胎儿自然娩出后导致会阴裂伤,两种不同情况下阴道弹性松紧度的比较。方法:选择206例初产妇,将其随机分成两组。对照组进行现在广为推广的回归自然分娩法,即:不使用会阴侧切术使胎儿自然娩出,如有会阴裂伤,常规使用微乔线行会阴裂伤缝合术。观察组,在胎头着冠时,进行传统的会阴侧切手术,待胎盘胎膜娩出后,行会阴侧切缝合术。然后观察两组的效果。结果:对照组的产妇,在会阴伤口愈合后,出现会阴部松弛,阴道壁松弛,性生活质量下降机率明显高于观察组,并且两组之间的差距有统计学意义(P<0.05)。结论:初产妇在分娩时行会阴侧切术,可以有效预防产后阴道松弛,性生活质量下降的发生。是一项可以继续在临床上推广使用的助产方法。
OBJECTIVE: To analyze the effect of perineal blocking anesthesia during the delivery of the mother and the perineum after anesthesia in the process of delivery, and to assist the birth of the fetus and the non-use of the perineal excision to cause perineal laceration after the delivery of the fetus. Under two different conditions Vaginal elastic tightness comparison. Methods: 206 cases of primiparous women were selected and randomly divided into two groups. The control group is now widely promoted return to natural childbirth law, that is: do not use the perineal lateral excision of the fetus naturally delivered, if there is perineal laceration, the conventional use of micro-line line perineal laceration suture. Observation group, in the fetal crown, the traditional episiotomy lateral episiotomy, until the placenta is delivered, the line of perineal incision suture. Then observe the effect of the two groups. Results: In the control group, the incidence of perineal relaxation, relaxation of the vaginal wall and sexual life quality were significantly higher in the control group than in the observation group after the perineal wound healing, and the difference between the two groups was statistically significant (P <0.05). Conclusions: The primipara leads to perineal excision in childbirth, which can effectively prevent the occurrence of postpartum vaginal relaxation and sexual quality decline. Is a midwifery that can continue to be used clinically.