检验医学与临床Issue(17)：2500-2502,3.DOI:10.3969/j.issn.1672-9455.2015.17.007
单手保护会阴接产法会阴评估及侧切裂伤的研究
Study on perineum assessment and perineum laceration in single hand perineum protection delivering method
摘要
Abstract
Objective To compare the perineum condition assessment ,perineum episiotomy rate and laceration degree between the single hand perineum protection delivering method and traditional perineum protection delivering method in order to improve the midwifery skills and assessment ability ,and reduce the perineum trauma .Methods The prospectively randomized clinical study was adopted with the parturients with full‐term ,head position ,without pregnancy comorbidities ,complications and fetal distress ,and vaginal delivery as the research subjects .Among them , 293 cases were in the research group and 294 cases in the control group .The research group adopted the single hand perineum protection delivering method ,while the control group adopted the traditional perineum protection delivering method .The perineum condition ,neonatal weight ,perineum episiotomy and perineum laceration were observed in the two groups .Results The perineum lengths ,perineum elasticity and neonatal weight had no statistical differences (P>0 .05);the episiotomy rate in the research group was significantly lower than that in the control group(17 .1%vs .40 .5% ) ,the perineum laceration degree in the research group was significantly lower than that in the control group ,the differences were statistically significant(P<0 .05);the occurrence rate of degree Ⅲ perineum laceration had no statistically significant difference between the two groups(P> 0 .05);no degree Ⅳ perineum laceration oc‐curred in the two groups .Conclusion The single hand perineum protection delivering method can elevated the perine‐um assessment ability compared with the traditional perineum protection delivering method ,decreases the episiotomy rate and reduces perineum laceration without increasing the occurrence rate of degree Ⅲ and Ⅳ perineum laceration .关键词
单手保护会阴/会阴侧切/会阴裂伤/会阴评估Key words
single hand perineum protection/episiotomy/perineum laceration/perineum assessment引用本文复制引用
罗庆平,桑晓梅,罗蓉戎,徐云芳,周蕾,杜雨然,朱莉,叶科容,郭绍俊..单手保护会阴接产法会阴评估及侧切裂伤的研究[J].检验医学与临床,2015,(17):2500-2502,3.基金项目
四川省卫生厅科研课题（130517）；泸州市科技局科技计划项目［2013-S-46（5／6）］。 （）
