双侧阴部神经阻滞麻醉会阴无保护或适度保护在阴道分娩中的应用

发布时间：2017-12-27 04:27

本文关键词：双侧阴部神经阻滞麻醉会阴无保护或适度保护在阴道分娩中的应用　出处：《青海医药杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的:分析双侧阴部神经阻滞麻醉配合维生素AD滴剂润滑阴道会阴无保护或适度保护技术在低危产妇正常分娩中的疗效。方法:收集我院2015年10月—2016年2月262例足月阴道分娩的低危产妇,其中观察组102例,对照组160例,比较两组疗效。结果:观察组产妇的会阴侧切率为0,而对照组的会阴侧切率为40.4%,差异有统计学意义(P0.05);观察组产妇产程疼痛级别明显低于对照组,差异有统计学意义(P0.05)。结论:双侧阴部神经阻滞麻醉会阴无保护或适度保护助产技术,可明显降低会阴侧切率,降低分娩疼痛,促进自然分娩率,提高分娩舒适感,使分娩过程尽量回归自然,减少不必要的医疗干预。此方法更具有人性化,值得临床推广应用。
[Abstract]:Objective: to analyze the effect of bilateral pudendal nerve block anesthesia combined with vitamin AD vaginal lubrication of perineum without protection or moderate protection technology in low-risk women in normal labor. Methods: 262 cases of low risk pregnant women with full term vaginal delivery from October 2015 to February 2016 were collected, of which 102 cases in the observation group and 160 cases in the control group were compared, and the curative effect of the two groups was compared. Results: the episiotomy rate of the observation group was 0, while the lateral perineal resection rate of the control group was 40.4%, the difference was statistically significant (P0.05), the pain level of the observation group was significantly lower than that of the control group, the difference was statistically significant (P0.05). Conclusion: bilateral pudendal block anesthesia has no protective or proper protective midwifery technology in the perineum, which can significantly reduce the lateral episiotomy rate, reduce labor pain, promote the natural delivery rate, improve the comfort of delivery, and make the labor process return to nature as much as possible, and reduce unnecessary medical intervention. This method is more humanized and worthy of clinical application.
【作者单位】：青海省大通县人民医院;
【分类号】：R473.71
【正文快照】： 随着社会的进步和产科医学的发展,产妇对分娩过程的要求也越来越高,这对产科医务人员也提出了更高的要求——如何去降低会阴侧切率,倡导自然分娩的技术。近年来随着社会-医学-护理模式的改变,以人为本的整体护理模式越来越被人们重视和接受,在分娩过程中尽量减少人为的医疗干

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