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目的:研究西宁地区第二产程中经双侧会阴阻滞麻醉后行会阴体按摩对初产妇分娩结局的影响。方法:选择足月妊娠、无产科合并症及并发症的初产妇320例随机分为两组,每组160例。以进入第二产程采用会阴阻滞麻醉后行会阴体按摩的初产妇为观察组。产时不采用任何干预措施,采用常规分娩方式为对照组。对两组产妇会阴裂伤及侧切率,孕妇对疼痛忍受情况进行比较。结果:观察组,会阴侧切率,会阴裂伤发生率,疼痛程度达到Ⅲ级及产后总出血量分别为16.3%,51.3%,1.9%,(120±26)mL,对照组分别为35%,55.0%,51.3%,(200±18)mL,两组比较有显著差异,P<0.01。结论:在西宁地区初产妇进入第二产程运用会阴阻滞麻醉后行会阴体按摩,能促进第二产程进展,降低会阴侧切及撕裂率,减轻患者疼痛,减少阴道出血,提高产科分娩质量。
OBJECTIVE: To study the effect of perineal massaging on primiparous delivery in the second stage of labor in Xining after anesthesia with bilateral perineal block. Methods: 320 pregnant women with term pregnancy, obstetric complications and complications were randomly divided into two groups, 160 cases in each group. To enter the second stage of labor with perineal block anesthesia perineal massage after primiparae was observed. Production without any intervention, the use of conventional mode of delivery for the control group. On the two groups of perineal laceration and laceration rate, pregnant women to compare the situation of pain tolerance. Results: The incidence of episiotomy, perineal laceration, perineal laceration and grade Ⅲ pain and postpartum total bleeding in the observation group were 16.3%, 51.3%, 1.9% and 120 ± 26 mL, respectively, in the control group were 35% 55.0%, 51.3% and (200 ± 18) mL, respectively, with significant difference between the two groups (P <0.01). Conclusion: The primiparous women entering the second stage of labor in the Xining area can perform perineal massage after perineal block anesthesia, which can promote the progress of the second stage of labor, reduce the episiotomy and tear rate of the episiotomy, relieve pain and reduce vaginal bleeding, and improve the quality of obstetric delivery.