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目的为探讨低危初产妇采用限制性会阴切开术的临床实际效果。方法 2014年12月-2015年6月,深圳市第六人民医院临床收治的低危初产妇152例为研究对象。根据产妇是否予以限制性会阴切开分成观察组和对照组,每组产妇76例,分别给予限制性会阴切开术和不限制性会阴切开术。观察并比较两组产妇的会阴切开情况和恢复情况。结果 1观察组(21.05%)的会阴切开率显著低于对照组(72.37%),观察组(32.89%)会阴完整率显著高于对照组(11.84%),观察组会阴裂伤I度发生率显著高于对照组,差异有统计学意义(P<0.05);2观察组的性生活恢复时间低于对照组,观察组的性交痛发生率水平低于对照组,且组间数据比较差异具有显著统计学意义(P<0.05)。结论针对低危初产妇实施限制性会阴切开术可以有效保护产妇的会阴损伤,有效提升产妇产后恢复进程,是临床实践过程中理想选择方式。
Objective To investigate the clinical effect of limited perineal incision in low-risk primipara. Methods From December 2014 to June 2015, 152 cases of low-risk primipara in Shenzhen Sixth People’s Hospital were enrolled in this study. According to whether the maternal limit of the perineal incision was divided into observation group and control group, 76 males in each group were given limited perineal incision and not limited perineal incision. Observe and compare the two groups of perineal incision and recovery of the perineum. Results The perineal incision rate of the observation group (21.05%) was significantly lower than that of the control group (72.37%). The perineal completeness rate of the observation group (32.89%) was significantly higher than that of the control group (11.84% (P <0.05) .2 The recovery time of sexual life in observation group was lower than that in control group, the incidence of sexual pain in observation group was lower than that in control group, and the difference between the two groups was statistically significant There was significant statistical significance (P <0.05). Conclusion The implementation of the restrictive perineal incision for low-risk primipara can effectively protect the perineal injury and improve the post-partum recovery process, which is the ideal choice in clinical practice.