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目的观察基于条件筛选的会阴无保护接生技术模式临床应用的效果。方法我院自2016年3月开始应用基于条件筛选的会阴无保护接生技术模式,选择应用前(2015年9月~2016年2月)和应用后(2016年3月~8月)于我院分娩的初产妇各100例作为研究对象,对该技术应用前后各相关观察指标的差异性进行比较。结果应用后产妇会阴切开率显著低于应用前,I°裂伤率显著高于应用前(P<0.05),但Ⅱ~Ⅲ°裂伤率与应用前比较差异无统计学意义(P>0.05),应用后产妇及助产人员满意度评分均显著高于应用前(P<0.05)。结论将基于条件筛选的会阴无保护接生技术模式应用于产科分娩护理之中,可显著降低产妇会阴侧切率,具备可靠的会阴完整性保护作用,可使产妇会阴免受或少受医源性损伤,并提高产妇及助产人员满意度。
Objective To observe the effect of clinical application of unprotected perineal technique based on conditional screening. Methods Since March 2016, our hospital applied the technique of unprotected perineal delivery based on conditional screening. The patients were selected before (September 2015 to February 2016) and after (March to August 2016) in our hospital The 100 cases of primipara of childbirth were selected as the research object, and the differences of the related observation indexes before and after the application of the technique were compared. Results The incidence of perineal incision was significantly lower than that before application (P <0.05), but there was no significant difference between preoperative and postoperative (P> 0.05). After application, the satisfaction scores of maternal and midwifery staffs were significantly higher than those before application (P <0.05). Conclusion The application of the technical mode of perineal unprotected delivery based on conditional screening in obstetrical delivery nursing can significantly reduce the rate of perineal lateral cleavage and provide reliable protection of perineal integrity and can prevent maternal perineum from less or less iatrogenic injury , And improve maternal and midwifery staff satisfaction.