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目的 探讨经阴道分娩与会阴侧切分娩结局的临床效果.方法 以本院妇产科2019年1月～2019年6月收治的159名会阴侧切产妇为研究对象,将其设为观察组;从本院同时期收治的经阴道分娩产妇中随机抽取159例设为对照组.记录两组产妇分娩中的出血量、第二产程、新生儿Apgar评分等分娩数据,对比两种不同分娩方法的临床效果.结果 观察组产妇分娩中出血量平均为(218.22±56.9)mL,平均第二产程为(48.73±20.13)min,平均新生儿Apgar评分为(9.34±0.22)分;对照组产妇分娩中出血量平均为(157.23±41.8)mL,平均第二产程为(47.63±19.23) min,平均新生儿Apgar评分为(9.11±0.21)分.两组产妇在第二产程、新生儿Apgar评分上无统计学差异(P ＞ 0.05),观察组产妇分娩中出血量明显高于对照组(P ＜ 0.01).结论 会阴侧切分娩不能起到明显的缩短第二产程、提高新生儿Apgar评分的临床效果,相反还会增加分娩出血量,因此不主张临床推广.“,”Objective To investigate the clinical effect of vaginal delivery and episiotomy. Methods 159 puerpera with episiotomy in our hospital from January 2019 to June 2019 were selected as the research object, and they were set as the observation group; 159 puerpera with vaginal delivery in our hospital during the same period were randomly selected as the control group. The blood loss, the second stage of labor, neonatal Apgar score and other delivery data were recorded, and the clinical effects of two different delivery methods were compared. Results the average amount of blood loss in the observation group was (218.22 ± 56.9)mL, the average second stage of labor was (48.73 ± 20.13)min, the average neonatal Apgar score was (9.34 ± 0.22)points; the average amount of blood loss in the control group was (157.23 ± 41.8)mL, the average second stage of labor was (47.63 ± 19.23)min, the average neonatal Apgar score was (9.11 ± 0.21)pionts. There was no significant difference in the second stage of labor and neonatal Apgar score between the two groups (P＞0.05). The amount of blood loss in the observation group was significantly higher than that in the control group (P＜0.01). Conclusion lateral episiotomy delivery can not significantly shorten the second stage of labor, improve the clinical effect of neonatal Apgar score, on the contrary, it will increase the amount of blood loss, so it is not advocated for clinical promotion.