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目的观察和分析在产妇分娩过程中应用会阴切开术对其产后恢复的影响。方法本组收集洛阳市妇女儿童医疗保健中心2014年10月—2015年2月间接诊的足月、单胎、头位的阴道分娩产妇1929例,按照患者是否施行会阴切开术,将其中929例施行会阴切开术的产妇作为研究组,余1000例未行会阴切开术的产妇作为对照组进行对照研究。观察两组产妇的产后恢复情况,并进行对比分析。结果研究组产妇分娩后的会阴疼痛程度显著比对照组产妇重(P<0.05),两组产妇的伤口愈合情况对比差异无统计学意义(P>0.05),对照组产妇分娩后的性生活满意度显著优于研究组(P<0.05)。结论在产妇分娩过程中应用会阴切开术具有操作简单、缩短产程及降低会阴裂伤率的优点,但其术后恢复相对较慢、感染率较高,故临床应结合产妇的具体情况合理使用。
Objective To observe and analyze the effect of perineal incision on postpartum recovery in the process of maternal delivery. Methods This group collected 1929 cases of vaginal delivery of full-term, single-child and head-bit vaginal delivery in Luoyang Women’s and Children’s Medical Center from October 2014 to February 2015. According to whether the patient underwent perineal incision, 929 Cases of perineal incision maternal as a research group, more than 1000 cases of women without perineal incision as a control group for controlled study. Observe the maternal postpartum recovery of two groups, and carry on comparative analysis. Results The pain intensity of the perineum in the study group was significantly higher than that in the control group (P <0.05). There was no significant difference in the wound healing between the two groups (P> 0.05). The sex life of the control group after delivery was satisfactory Degree was significantly better than the study group (P <0.05). Conclusions The application of perineal incision during maternal delivery has the advantages of simple operation, shortened labor process and reduced perineal laceration rate. However, the postoperative recovery is relatively slow and the infection rate is high. So the clinical application should be combined with the specific conditions of the maternal .