Analysis of the application value of unprotected perineal midwifery nursing in the delivery of primipara
会阴无保护助产护理在初产妇分娩中的运用价值分析

摘要

目的 探究初产妇行会阴无保护助产护理的临床价值。方法 随机将2021年8月至2022年8月我院92例初产妇分为实验组46例（应用会阴无保护助产）、对照组46例（应用传统助产）。对比两组会阴损伤与侧切情况、护理前后SAS评分、SDS评分、并发症发生率。结果 实验组会阴损伤与侧切情况较之于对照组有差异，P＜0.05；护理前，组间焦虑评分、抑郁评分差异不存在，P＞0.05；经护理，实验组SAS评分（23.34±4.28）分、SDS评分（24.51±3.57）分，P＜0.05；实验组并发症发生率（6.52%，3/46）明显低于对照组（23.91%,11/46），P＜0.05。结论 会阴无保护助产用于初产妇分娩中的效果确切，可尽量避免损伤会阴且并发症少，有效缓解其不良心理情绪，值得推广。

Abstract

Objective To explore the clinical value of unprotected perineal midwifery nursing for primiparous women.
Methods From August 2021 to August 2022, 92 primiparas in our hospital were randomly divided into experimental group (46 cases with unprotected perineal midwifery) and control group (46 cases with traditional midwifery). The perineal injury and lateral resection, SAS score, SDS score before and after nursing, and the incidence of complications were compared between the two groups.
Results The perineal injury and lateral resection in experimental group were compared with those in control group (P < 0.05). Before nursing, there was no difference in anxiety score and depression score between groups, P > 0.05; After nursing, SAS score and SDS score of experimental group were (23.34±4.28) and (24.51±3.57), respectively, P < 0.05. The complication rate of the experimental group (6.52%,3/46) was significantly lower than that of the control group (23.91%,11/46), P < 0.05.
Conclusion  s The effect of unprotected perineal midwifery in primipara delivery is exact, which can avoid damage to perineum as much as possible and reduce the complications, and effectively relieve their bad psychological emotions, which is worthy of promotion.