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目的:探讨无保护会阴接生法与传统接生法对产妇盆底功能的近期影响。方法:选择2013年10月~2015年12月我院收治的150例阴道分娩产妇,随机分为两组各组75例,给予对照组传统接生法,给予观察组无保护会阴接生法,观察两组产后会阴损伤情况及盆底功能。结果:观察组有18例产妇会阴完整,I度损伤22例,II度损伤35例,与对照组相比存在显著统计学差异(P<0.05);观察组盆底肌力下降、阴道压力异常率及SUI发生率均明显低于对照组(28.0%vs50.7%,14,7%vs25.3%,8.0%vs20.0%),组间对比存在显著统计学差异(P<0.05)。结论:无保护会阴接生法能够有效避免会阴损伤及盆底功能异常,值得临床推广。
Objective: To explore the immediate impact of unprotected perineal birth and traditional birth on maternal pelvic floor function. Methods: From October 2013 to December 2015, 150 cases of vaginal delivery in our hospital were randomly divided into two groups of 75 cases. The control group received traditional birth control and the observation group received unprotected perineal birth. Postpartum perineal injury and pelvic floor function. Results: In the observation group, there were 18 cases of maternal perineal completeness, 22 cases of I degree injury and 35 cases of II degree injury. There was a significant difference between the observation group and the control group (P <0.05). The observation group had decreased pelvic floor muscle strength and abnormal vaginal pressure The rates of SUI were significantly lower than those of the control group (28.0% vs 50.7%, 14.7% vs25.3%, 8.0% vs20.0%, respectively). There was significant difference between the two groups (P <0.05). Conclusion: The unprotected perineal birth method can effectively prevent perineal injury and pelvic floor dysfunction, it is worth clinical promotion.