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目的:探究无保护会阴接生减少会阴损伤及新生儿肩难产的作用效果。方法:300例初产妇按照数字表随机分组的方案分为观察组合对照组各150例。对照组采用保护会阴接生法,而观察组采用无保护会阴接生法,比较两组产妇的会阴及新生儿情况。结果:结果对照组会阴侧切,裂伤和会阴感染比例明显高于观察者,会阴完成情况明显低于感染组,差异均有明显的统计学意义(p<0.05),对照组新生儿窒息和新生儿肩难产比例明显高于对照组,差异有显著的统计学意义(p<0.01)。结论:与传统的接生法相比,无保护会阴接生法能够明显降低产妇会阴损伤感染以及新生儿肩难产的发生率,值得临床推广应用。
Objective: To investigate the effect of unprotected perineal delivery to reduce perineal injury and neonatal shoulder dystocia. Methods: 300 cases of primipara were randomly divided into observation group and control group according to the table of 150 cases. The control group used to protect the perineal birth law, while the observation group using unprotected perineal birth law, the comparison of the two groups of maternal perineum and neonatal conditions. Results: The proportion of episiotomy, laceration and perineal infection in the control group was significantly higher than that of the observer, and the completion of the perineum was significantly lower than that of the infected group (P <0.05). The neonatal asphyxia and newborn Abdominal labor was significantly higher than the control group, the difference was statistically significant (p <0.01). Conclusion: Compared with the traditional method of birth, unprotected perineal birth can significantly reduce the incidence of perineal infection and neonatal shoulder dystocia, which is worthy of clinical application.