降低初产妇分娩会阴侧切率的临床探讨

目的：探讨降低初产妇会阴侧切率对分娩结局的影响并分析其临床价值。方法：回顾性分析我院2007、2009和2011年初次妊娠分娩孕妇的会阴侧切、感染、Ⅲ＆#176;裂伤及新生儿窒息的相关数据。结果：3年间的会阴侧切率及会阴感染率都逐年下降，会阴侧切率的两两年间的比较、会阴感染率在2007和2011年比较及2009和2011年的比较上都有统计学意义（P＜0.05），而2009和2011年的感染率和3年间新生儿窒息发生率对比均无统计学意义（P＞0.05），会阴Ⅲ＆#176;裂伤数保持为0。结论：降低会阴侧切率可有效减少产后会阴感染率、会阴Ⅲ°裂伤及新生儿窒息发生率。

Clinical study of reducing episiotomy rate in primiparae

Objectives：To study the impact of reducing episiotomy rate on the delivery outcomes of primip-arae,and evaluate the clinical value.Methods：Statistics related to episiotomy rate,infection,Ⅲ＆#176;laceration and neonatal asphyxia of primiparae in our hospital in 2007,2009 and 2011 were studied and analyzed retrospectively. Results：The episiotomy and infection rate in 2007,2009 and 2011 decreased year by year;the difference of episi-otomy rate in the three years was of statistically significances （P〈0.05 ）,and the difference of perineal infection between 2007 and 201 1 as well as 2009 and 201 1 was statistically significant （P〈0.05 ）;the infection rate be-tween 2009 and 201 1 and the incidence rate of neonatal asphyxia in the three years were of no statistically signifi-cance （P〉0.05）.Conclusion：Reducing episiotomy rate can effectively reduces the incidence rate of postpartum perineal infection,Ⅲ°laceration and neonatal asphyxia of primiparae.