无创低位产钳助产对单胎足月孕妇分娩出血量、分娩时间及产后盆底肌力的影响
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河北省医学科学研究课题计划项目(20251192);


Influence of noninvasive low forceps midwifery on delivery bleeding vol-ume,delivery time and postpartum pelvic floor muscle strength in single-ton full-term pregnant women
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    摘要:

    目的:探讨单胎足月孕妇接受无创低位产钳助产对分娩出血量、分娩时间及产后盆底肌力的影响。方法:选取201例初产妇为研究对象,根据助产方式不同分为对照组(n=100)和研究组(n=101)。对照组产妇予以会阴侧切低位产钳助产;研究组产妇予以无创低位产钳助产。比较两组产妇产程时间、住院时间、出血量、会阴损伤情况、产后盆底肌力及并发症发生发生情况。结果:研究组产妇第二产程时间、住院时间和出血量均低于对照组[(0.87±0.17)h vs.(1.14±0.22)h、(3.97±0.62)d vs.(5.22±1.18)d、(227.59±72.54)mL vs.(273.82±89.25)mL,P<0.05];会阴完整率高于对照组(22.77%vs.7.00%,P<0.05);会阴侧切和会阴Ⅱ裂伤的发生率低于对照组[25.74%vs.39.00%、4.95%vs.4.95%,P<0.05];产后6周、12周和24周盆底肌力水平均高于对照组(P<0.05);并发症发生率低于对照组(9.90%vs.21.00%,P<0.05)。结论:单胎足月孕妇接受无创低位产钳助产能有效降低产妇的分娩出血量,减少分娩时间,改善产妇产后盆底肌力,降低并发症的发生率。

    Abstract:

    Objective:To investigate the influence of noninvasive low forceps midwifery on delivery bleeding volume,deliv-ery time and postpartum pelvic floor muscle strength in singleton full-term pregnant women.Methods:Totally 201 primiparas who gave birth in the hospital were selected and divided into control group(Perineal lateral incision low position forceps assis-ted delivery,n=100)and study group(Non invasive low position forceps assisted delivery,n=101)according to the delivery modes accepted by puerperae.The duration of labor,hospital stay,bleeding volume,perineal injury status,postpartum pelvic floor muscle strength,and incidence rates of complications were recorded and compared between the two groups.Results:The time of second stage of labor,hospital stay and bleeding volume with(0.87±0.17)h,(3.97±0.62)d and(227.59±72.54)ml in the study group were shorter or less than(1.14±0.22)h,(5.22±1.18)d and(273.82±89.25)ml in the control group(P<0.05).The perineal integrity rate in the study group with 22.77%was higher than 7.00%in the control group(P<0.05)while the probabilities of lateral episiotomy and perineal Ⅱ laceration with 25.74%and 4.95%were lower than 39.00%and 4.95%in the control group(P<0.05).The pelvic floor muscle strength levels in the study group at 6,12 and 24 weeks af-ter delivery were higher than those in the control group(P<0.05).The probability of complications in the study group(9.90%)was lower compared with that in the control group(21.00%)(P<0.05).Conclusion:Noninvasive low forceps mid-wifery for singleton full-term pregnant women can effectively reduce the delivery bleeding volume,shorten the delivery time,improve the postpartum pelvic floor muscle strength and reduce the probability of complications.

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张冬梅;冯颖;李亚光;.无创低位产钳助产对单胎足月孕妇分娩出血量、分娩时间及产后盆底肌力的影响[J].川北医学院学报,2025,40(10):1263-1266.

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  • 在线发布日期: 2025-11-03
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