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目的:探讨改良式会阴侧切术在阴道分娩过程中应用的临床效果。方法:将274例阴道分娩行会阴侧切术产妇(胎儿体重<3 500 g者239例,胎儿体重>4 000 g者35例)随机分组,144例为改良组,130例为对照组。改良组行改良式会阴侧切术,对照组采用传统的会阴侧切术。观察产妇的产时出血量、产后3天时的疼痛及活动情况、产后7天的切口愈合情况,将两组观察结果进行分析比较。结果:与对照组相比,改良组在产时出血量、产后疼痛程度上都有明显的降低,而活动情况及切口愈合情况均要优于对照组。结论:采用改良式会阴侧切术,有利于产后恢复,提高产妇生活质量。
Objective: To investigate the clinical effect of modified episiotomy in vaginal delivery. Methods: A total of 274 cases of vaginal delivery were performed. The women with genital hernia (239 with fetal weight <3500 g and 35 with fetal weight> 4000 g) were randomized into groups, 144 as modified group and 130 as control group. The modified group underwent modified episiotomy, and the control group underwent conventional episiotomy. Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Results: Compared with the control group, the improvement group had a significant reduction in the amount of bleeding during delivery and the degree of postpartum pain, while the activity and incision healing were better than the control group. Conclusion: The modified episiotomy lateralization is conducive to postpartum recovery and improve the quality of life of pregnant women.