首页|阻滞麻醉联合会阴体按摩对会阴侧切及裂伤的临床影响

阻滞麻醉联合会阴体按摩对会阴侧切及裂伤的临床影响

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目的 探讨产妇在分娩过程中应用阻滞麻醉联合会阴体按摩对会阴侧切和裂伤的临床影响。方法 选取100例产妇,根据随机数字表法分为两组,每组50例。对照组单纯采用双侧会阴阻滞麻醉,试验组采用会阴阻滞麻醉联合会阴体按摩,对比两组产妇会阴体完整性、剖宫产率、产后出血量及会阴伤口愈合时间。结果 试验组患者会阴体完整率明显高于对照组,剖宫产率低于对照组,产后出血量明显少于对照组,会阴伤口愈合时间短于对照组(P<0。05)。结论 阻滞麻醉联合会阴体按摩能够有效增强会阴局部弹性,从而降低会阴侧切和裂伤风险,为产妇产后顺利康复提供支持,值得临床推广。
Clinical effects of block anesthesia combined with perineal body massage on lateral incision and laceration of perineum
Objective To investigate the clinical effects of applying block anesthesia and perineal massage on lateral perineal incision and laceration during childbirth.Methods 100 parturients were selected and divided into two groups according to random number table method,with 50 cases in each group.The control group received bilateral perineal block anesthesia alone,and the experimental group received perineal block anesthesia combined with perineal body massage.The integrity of perineal body,cesarean section rate,postpartum bleeding amount and perineal wound healing time were compared between the two groups.Results The perineal integrity rate,cesarean section rate,postpartum blood loss and perineal wound healing time in experimental group were significantly higher than those in control group(P<0.05).Conclusion Block anesthesia combined with perineal body massage can effectively enhance the local elasticity of the perineum,thereby reducing the risk of lateral incision and laceration of the perineum,and provide support for postpartum recovery,which is worthy of clinical promotion.

Block anesthesiaPerineal massageLateral perineal incisionPerineal laceration

袁雪雯、吕嘉琪

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高淳人民医院 产房,江苏南京 211300

阻滞麻醉 会阴体按摩 会阴侧切 会阴裂伤

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(11)
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