摘要【目的】探讨控制胎头娩出速度对减轻自然分娩产妇会阴裂伤的临床价值。【方法】选取2016年2月至2017年2月在本院产科实施产道自然分娩的孕妇400例,采用随机数表法分为观察组和对照组,每组200例。观察组采用控制胎头娩出速度进行助产,对照组采用常规产道助产,对比两组产后会阴裂伤、第二产程、产后出血、分娩疼痛、分娩控制感等指标。【结果】观察组会阴侧切率为43.50%,显著低于对照组的63.00%(P<0.05);观察组会阴裂伤率为21.50%,显著低于对照组的34.50%(P<0.05);观察组会阴裂伤分度显著低于对照组,其差异均有统计学意义(P<0.05);观察组产后出血量、分娩疼痛、分娩控制感评分显著低于对照组(P<0.05),观察组的第二产程时间长于对照组P<0.05)。两组产后新生儿1 min、5 min Apgar评分比较,差异无统计学意义(P>0.05)。【结论】在自然分娩产妇中控制胎头娩出速度,可减轻产妇会阴裂伤和分娩疼痛,提高分娩控制感,值得临床推广应用。
Abstract：【Objective】To explore the clinical value of fetal head delivery speed control during natural childbirth parturient in reducing maternal perineal laceration. 【Methods】A total of 400 pregnant women who underwent natural delivery in the obstetrics from February 2016 to February 2017 were enrolled in the observation group and the control group, with 200 patients in each group. Patients in the observation group received the control of fetal head delivery speed rate for the delivery assistance, while patients in the control group had the routine birth canal to assist the delivery. Indicators such as postpartum perineal laceration, the second stage of labor, postpartum hemorrhage, labor pain and childbirth control were compared between the two groups. 【Results】The perineal cut rate was 43.50% in the observation group, which was significantly lower than 63.00% in the control group (P<0.05). The perineal laceration rate in the observation group was 21.50%, which was significantly lower than that in the control group (34.50%) (P<0.05). The score of perineal laceration in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). The postpartum hemorrhage, labor pain and delivery control score in the observation group were significantly lower than those in the control group (P<0.05). The second stage of labor in the observation group was longer than the control group (P<0.05). There was no significant difference in Apgar scores between the two groups after 1 min and 5 min postpartum (P>0.05).【Conclusion】Natural childbirth parturient with control of fetal head delivery speed can reduce maternal perineal laceration and labor pain. It has positive effect on the sense of delivery control.
王丹, 王雪莉, 吴莹. 控制胎头娩出速度在减轻自然分娩产妇会阴裂伤的临床应用价值[J]. 医学临床研究, 2019, 36(3): 460-462.
WANG Dan, WANG Xue-li, WU Ying. Clinical Value of Controlling Delivery Speed of Fetal Head in Normal Labor to Reduce Perineal Laceration. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 460-462.
2019, Vol. 36 
