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目的对两组正常产分娩的产妇在助产过程中,施行两种不同角度的会阴侧切术,对产后切口肿痛及愈合情况进行观察。方法实验组采用30o会阴切开术,对照组采用45o会阴切开术各100例,进行比较。结果实验组在产后l～3天会阴肿痛情况比对照组轻,切口I期愈合率为96.00%,而对照组I期愈合率为75%,P<0.01。两组比较差异有高度显著性。结论施行30o会阴切开术,可减轻切口肿胀疼痛,有利于切口的愈合,减少阴道内壁的延伸撕裂伤和切口的感染率。
Objective To observe the perineal lateral incision of two different angles in the process of midwifery between two groups of normal delivery women. The postpartum incision swelling and pain were observed. Methods 30o perineal incision was used in the experimental group and 100 in 45o perineal incision in the control group. Results In the experimental group, the incidence of perineal swelling and pain was lighter than that of the control group from 1 to 3 days postpartum. The healing rate of I incision was 96.00%, while that of control group was 75% (P <0.01). The difference between the two groups was highly significant. Conclusions 30o perineal incision can reduce incision swelling pain, is conducive to incision healing, reduce the extension of vaginal wall laceration and incision infection rate.