气囊仿生助产术1 020例临床分析

Clinical analysis of 1 020 cases of bionic airbag midwifery

  • 摘要:
    目的 探讨气囊仿生助产术对初产妇分娩过程、分娩结局及新生儿的影响。
    方法 选取2020年1月—2022年11月在江苏省苏北人民医院分娩的初产妇1 020例为研究对象。根据是否选用分娩镇痛分为分娩镇痛产妇共690例(A组)和未选用分娩镇痛产妇共330例(B组)。A组产妇分为观察A组(选用气囊仿生助产术)、对照A组, 每组345例; B组产妇分为观察B组(选用气囊仿生助产术)、对照B组,每组165例。分析所有孕产妇分娩方式、产程时间、产时出血量、产时情况及新生儿情况。
    结果 选用气囊仿生助产术的产妇剖宫产率低于未选用者,生理助娩率高于未选用者,差异有统计学意义(P < 0.05)。选用气囊仿生助产术的产妇第一、二产程时间及总产程时间均短于未选用者,会阴损伤(裂伤、血肿、切口延撕)、尿潴留及尿失禁发生率低于未选用者,差异有统计学意义(P < 0.05)。各组会阴侧切率、产时出血量、羊水情况、胎儿情况、新生儿情况、阴道损伤(血肿、裂伤)、宫颈裂伤比较,差异无统计学意义(P>0.05)。
    结论 气囊仿生助产术可显著降低初产妇的剖宫产率,联合分娩镇痛可有效缩短分娩时间,减少会阴损伤及对盆底肌损害,在一定程度上可为产妇再次分娩创造较好的前提条件。

     

    Abstract:
    Objective To explore the effect of bionic airbag midwifery on parturition, parturition outcome and newborn.
    Methods A total of 1 020 primiparas who gave birth in North People's Hospital of Jiangsu Province from January 2020 to November 2022 were selected as the research objects. According to whether to choose analgesic labor or not, A total of 690 cases (group A) and 330 cases (group B) did not choose analgesic labor. Group A was divided into observation A group (airbag bionic midwifery) and control A group, with 345 cases in each group; group B was divided into observation B group (airbag bionic midwifery) and control B group, with 165 cases in each group. Methods of delivery, duration of labor, intrapartum blood loss, intrapartum and neonatal conditions were analyzed.
    Results The delivery rate of cesarean section was significantly lower in women with balloon bionic midwifery, and the delivery rate of physiological aid was significantly higher than that in women without balloon bionic midwifery (P < 0.05). The time of the first and second stages of labor and the total time of labor were significantly shorter, and the incidence rate of perineal injury (laceration, hematoma and incision tearing), urinary retention and urinary incontinence were significantly less in the women who chose balloon bionic midwifery than those who unchosen (P < 0.05). There were no significant differences in lateral perineal resection rate, intrapartum blood loss, amniotic fluid, fetal condition, neonatal condition, vaginal injury (hematoma and laceration) and cervical laceration among all groups (P>0.05).
    Conclusion Bionic airbag midwifery can significantly reduce the rate of cesarean section of primipara, combined labor analgesia can effectively shorten the labor time, reduce perineal damage and pelvic floor muscle damage and can create a better prerequisite to a certain extent for maternal childbirth again.

     

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