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目的:探讨无保护会阴分娩方法的可行性与效果。方法:将2014年2~12月分娩的初产妇350例设为对照组;2015年1月~11月分娩的初产妇305例设为实验组,制定会阴切开技术评估表,明确会阴切开指征,实施无保护会阴方法干预,评价两组的会阴切开率、会阴完整率。结果:对照组产妇的会阴切开率为52.571%、会阴完整率为12.286%;观察组产妇会阴切开率下降为11.148%、会阴完整率上升为23.934%,两组比较均有统计学意义。结论:运用会阴评估法,掌握会阴切开指征,施行无保护会阴接生技术,可有效的降低会阴切开率,保护会阴完整性。
Objective: To explore the feasibility and effect of unprotected perineal delivery. Methods: 350 cases of primiparae delivered during 2 ~ 12 months in 2014 were set as the control group. 305 cases of primipara of childbirth in January to November of 2015 were set as the experimental group. The perineal incision technique evaluation table was established, and the perineal incision Indications, the implementation of unprotected perineal intervention, evaluation of the two groups of perineal incision rate, perineal completeness rate. Results: The perineal incision rate of the control group was 52.571% and the perineal complete rate was 12.286%. The incidence of perineal incision in the observation group decreased to 11.148% and the perineal complete rate increased to 23.934%, both of which were statistically significant. Conclusion: The perineal assessment method, the indications of perineal incision, the implementation of unprotected perineal intercourse technology, which can effectively reduce the perineal incision rate and protect the integrity of the perineum.