改良会阴侧切术应用于经阴道分娩初产妇的临床疗效观察

摘要

Objective To observe the clinical effect of improved lateral episiotomy on primipara vaginal delivery.Methods A total of 340 patients who delivered in Linquxian People′s Hospital during Jan.2012 and Oct.2013 were selected as research subjects.They are equally divided into two groups by random number table method,170 cases in each group.Patients in traditional operative group adopted traditional lateral epi-siotomy while patients in modified operative group adopted improved lateral episiotomy .Then the intraopera-tive blood loss,the suture time,the postpartum incision pain grading,wound healing classification and the quality of life of the two groups were compared .Results Intraoperative blood loss in the modified operative group was significantly less than the traditional operative group[(14.6 ±2.7) mL vs (31.2 ±7.4) mL,P<0.05 ] .The suture time in modified operative group was significantly less than the traditional operative group [(8.1 ±0.4) min vs (10.4 ±0.9) min,P <0.05].The postpartum incision pain in modified operative group was lighter than the traditional operative group(P<0.05).The wound healing in the modified opera-tive group was better than the traditional operative group ( P <0.05 ) .The quality of life of both groups six months after delivery had no statistical significance ( P >0.05 ) .Conclusion Improved lateral episiotomy can obviously decrease the intraoperative blood loss and lighten the pain ,and the postpartum recovery is faster as well.%目的：观察改良会阴侧切术应用于经阴道分娩初产妇的临床疗效。方法选取2012年1月至2013年10月在临朐县人民医院分娩的初产妇340例作为研究对象，采用随机数字表法将产妇分为两组，各170例。传统手术组采用传统的会阴侧切术，改良手术组采用改良会阴侧切术，比较产妇的术中出血量、切口缝合时间、产后切口的疼痛分级、切口的愈合分级、产妇生活质量。结果改良手术组术中出血量显著少于传统手术组[（14．6±2．7） mL 比（31．2±7．4） mL，P＜0．05]；改良手术组切口缝合时间显著短于传统手术组[（8．1±0．4） min 比（10．4±0．9） min，P ＜0．05]。改良手术组产妇产后切口疼痛较传统手术组轻（ P ＜0．05），改良手术组切口愈合程度优于传统手术组（P＜0．05）。两组产妇分娩后6个月的生活质量比较差异无统计学意义（P＞0．05）。结论改良会阴侧切术可以明显减少产妇的出血量，降低疼痛程度，并且产妇分娩后恢复较快。