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目的探讨无保护分娩术在单胎初产妇分娩中的应用效果。方法根据分娩方式将230例单胎初产妇分为观察组(105例)与对照组(125例),观察组分娩过程中采用无保护分娩术,对照组分娩过程中采用会阴侧切术,对比两组患者的应用效果。结果 (1)观察组产妇会阴损伤程度显著低于对照组(P<0.05);产后24 h、48 h,观察组产妇产后VAS疼痛评分均显著低于对照组(P<0.05);观察组产妇产后24 h生活完全自理率显著高于对照组(P<0.05),两组产妇产后尿失禁率相比差异无统计学意义(P>0.05);产后3个月时,两组产妇性欲程度、性唤起、阴道润滑情况、性高潮情况等维度评分相比差异无统计学意义(P>0.05),观察组性满意度、性交疼痛等维度评分显著高于对照组(P<0.05)。结论与会阴侧切术相比,无保护分娩术具有会阴损伤轻、疼痛感轻、恢复快、性生活质量恢复好等优势。
Objective To explore the effect of unprotected labor on the delivery of single-born primipara. Methods According to mode of delivery, 230 singleton primiparous women were divided into observation group (105 cases) and control group (125 cases). The observation group adopted unprotected childbirth during the delivery and the control group received episiotomy during the delivery. The effect of the group of patients. Results (1) The incidence of perineal injury in the observation group was significantly lower than that in the control group (P <0.05). Postpartum VAS pain scores in the observation group were significantly lower than those in the control group at 24 h and 48 h (P <0.05) There was no significant difference in postpartum urinary incontinence between the two groups (P> 0.05). At 3 months postpartum, the degree of maternal libido, Sexual arousal, vaginal lubrication, orgasm and other dimensions were not significantly different (P> 0.05). The scores of sexual satisfaction and sexual intercourse pain in observation group were significantly higher than those in control group (P <0.05). Conclusions Compared with episiotomy, unprotected labor has the advantages of mild perineal injury, mild pain relief, quick recovery and good sexual life.