摘要【目的】探讨会阴无创接生技术联合自由体位接生在初产妇无创分娩中的应用效果。【方法】选择2015年3月至2018年3月在本院无创分娩初产妇124例,按照随机数表法分为观察组和对照组,每组62例。对照组采用常规分娩,观察组采用会阴无创接生技术联合自由体位接生,比较两组产程、产后出血量、新生儿Apgar评分、会阴损伤率及疼痛程度。【结果】两组新生儿5 min Apgar评分比较差异无统计学意义(P>0.05)。观察组总产程、产后出血量少于对照组(P<0.05);新生儿1 min Apgar评分高于对照组(P<0.05);会阴切开、会阴撕裂及分娩后会阴水肿发生率均显著低于对照组(P<0.05);分娩后0级、Ⅰ级疼痛率均显著高于对照组(P<0.05);Ⅱ级、Ⅲ级疼痛率均显著低于对照组(P<0.05)。【结论】初产妇无创分娩中应用会阴无创接生技术联合自由体位接生,可缩短产程,减少产后出血量,提高新生儿1 min Apgar评分,降低产妇会阴切开率,值得临床推广应用。
Abstract：【Objective】To investigate the effect of perineal non-invasive delivery technology combined with free position delivery in non-invasive delivery of primipara and its effect on maternal perineal incision rate. 【Methods】A total of 124 women with non-invasive maternal delivery from March to 20, 2015 were selected. The random number table was divided into the control group (n=62) and the observation group (n=62). The control group was given conventional methods for delivery. The observation group was treated with perineal non-invasive delivery technique combined with free position delivery Labor, postpartum hemorrhage, neonatal Apgar score, perineal injury rate and maternal pain during labor were compared between the two groups. 【Results】There was no significant difference in the 5 min Apgar score between the observation group and the control group (P>0.05). The total labor and postpartum hemorrhage in the observation group were shorter (less) than in the control group (P<0.05). The 1 min Apgar score was higher than that of the control group (P<0.05). The incidence of perineal incision, perineal tear and perineal edema after delivery was lower than that of the control group (P<0.05). After childbirth, the pain rate of grade 0 and grade Ⅰ in the observed group was higher than those of the control group (P<0.05). While the pain rate of grade Ⅱ and Ⅲ in the observation group was lower than that of the control group (P<0.05). 【Conclusion】Invasive non-invasive delivery technology combined with free position delivery for primipara non-invasive delivery can shorten the labor process, reduce postpartum hemorrhage, improve neonatal Apgar score, and reduce maternal perineal incision rate. It is worthy of popularization and application.
李恩彩, 孔令娟. 会阴无创接生技术联合自由体位接生在初产妇无创分娩中的应用价值[J]. 医学临床研究, 2020, 37(12): 1799-1801.
LI En-cai, Kong Ling-juan. Application of Perineal Non-invasive Delivery Technology Combined with Free Position Delivery in Non-invasive Delivery of Primipara. JOURNAL OF CLINICAL RESEARCH, 2020, 37(12): 1799-1801.
2020, Vol. 37 
