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目的 探讨产程中用阴道检查代替肛门检查的价值。方法 将 15 0 0例孕产妇随机分为两组 ,阴道检查组 770例 ,肛门检查组 73 0例 ,从产褥感染、新生儿感染、检查次数、产程进展的观察、检查结果准确性等几方面进行对比分析。结果 两组母儿感染情况比较差异无显著意义 (P >0 0 5 ) ;两组检查次数比较差异有显著意义 (P <0 0 5 ) ;肛门检查组中仅 82 1%能够准确判断宫口大小及胎先露情况 ,8 9%因估测宫口大小失误而不适时的干涉了产程。结论 阴道检查代替肛门检查不增加母儿感染 ,且具有准确性高等优点。
Objective To investigate the value of vaginal examination instead of anal examination in labor. Methods 150 pregnant women were randomly divided into two groups, 770 cases of vaginal examination group, anal examination group 73 0 cases, from puerperal infection, neonatal infection, the number of examinations, the progress of labor observed, the accuracy of test results and so on Comparative analysis. Results There was no significant difference in maternal and child infection between the two groups (P> 0.05). There were significant differences in the number of examinations between the two groups (P <0.05). Only 82.1% Size and fetal exposure, 8 9% due to miscalculation of the size of the cervix and not appropriate to interfere with the labor process. Conclusion Vaginal examination instead of anal examination does not increase maternal and child infections, and has the advantages of high accuracy.