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目的比较分析不同助产方式在无保护会阴接生中应用的临床效果。方法选择2012年12月—2014年11月来驻马店市第一人民医院进行自然分娩的初产妇456例。随机将其分成4组,即A组、B组、C组、D组,每组114例。A组产妇采用单纯无保护会阴接生法分娩;B组产妇采用导乐助娩配合无保护会阴接生法分娩,C组产妇采用双侧会阴阻滞麻醉配合无保护会阴接生法分娩;D组产妇采用A组、B组、C组相结合的方法分娩。观察4组产妇各项指标情况。结果 D组产妇在分娩成功率、会阴完整率、疼痛等方面与其他三组相比,差异均有统计学意义(P<0.05)。结论采用导乐助娩与双侧会阴阻滞麻醉配合无保护会阴分娩能有效的提高分娩成功率、新生儿评分情况、会阴完整率,降低产后出血几率及缩短第二产程时间,提高产妇满意度,可推广应用。
Objective To compare and analyze the clinical effects of different midwifery methods in unprotected perineal intercourse. Methods 456 cases of primipara of spontaneous delivery in the First People’s Hospital of Zhumadian City from December 2012 to November 2014 were selected. Randomly divided into 4 groups, namely A group, B group, C group, D group, 114 cases in each group. Group A maternal pure unprotected perineal birth delivery method; Group B maternity douche with unprotected perineal birth delivery method, Group C maternal use of bilateral perineal anesthesia with unprotected perineal birth delivery method; Group D maternal A group, B group, C combination of methods of childbirth. Observation of 4 groups of maternal indicators. Results Compared with the other three groups, the differences of the success rate of delivery, perineal completeness and pain in group D were statistically significant (P <0.05). Conclusions The use of lead-assisted delivery and bilateral perineal block anesthesia combined with unprotected perineal delivery can effectively improve the delivery success rate, neonatal score, perineal complete rate, reduce the risk of postpartum hemorrhage and shorten the second stage of labor, improve maternal satisfaction , Can promote the application.