会阴

Colpitis, premature rupture of membrane, contamination of amniotic fluid, action of protecting perinaeum, suture technique and abnormalities of related obstetrics were responsible for Dys-healing.

回顾性分析30例会阴侧－斜切伤口愈合不良的主要原因，与原有阴道炎、胎膜早破、羊水污染、保护会阴、缝合技术及病理产科等有关。

In the observation group, continuous suture was adopted and in control group with intrademic suture.

观察组用连续缝合法行会阴缝合术，对照组用皮内缝合法缝合会阴切口。

The main reasons for carrying out an episiotomy are that the baby is in distress, or to prevent serious tearing of the mothers perineum.

主要的原因进行一会阴切开术是婴儿，是在危难，或以防止严重撕裂的mother s会阴。

Objective:To observe the morphology of perineal body, provide some consults for practicing episiotomy or perineorrhaphy.

目的通过分娩期会阴形态学观察，为指导会阴切开术及会阴裂伤修补提供参考依据。

C. Application of pressure at the perineal apex with a towel-covered hand helps to prevent extension of the episiotomy.

c。 在会阴尖部覆盖毛巾用手加压，有助于防止会阴切口延长。

Objective:To Explore the relationship between timely episiotomy and perineal bleeding volume、edema、wound healing and satisfaction of patients at the second stage of normal delivery.

目的：探讨自然分娩第二产程会阴侧切时间与会阴切口出血量、水肿的发生、伤口愈合以及病人满意度的关系。

Results:The incidence of postpartum perineal pain at the first day in each groups was 94%, 96%, 94% and 55%, respectively and the total incidence was 88% and that at second day, 56%, 62%, 71%, 40% respectively and the total incidence were 64%.

结果产后第1天各组会阴痛的发生率分别为94%，96%，94%，55%，总发生率为88%；产后第2天各组会阴痛的发生率分别为56%，62%，71%，40%，总发生率为64%。

Methods:during the year 2003 to 2006,3298 patients with vaginal delivery received 2 kinds of skin preparations.retrospective study was conducted to investigate the effect of skin preparation methods on the healing of mediolateral episiotomy.rerults:there was no different effect on the wound healing of mediolateral episiotomy between the 2 kinds of skin preparation.conclusions:non-shaving method has no adverse effect on the sterilization of operation field in vaginal delivery.moreover it can save the time of nuring,lower the costs,ease the uncomfortable feeling .therefore,we consider the non-shaving method has advantage over the shaving one.the former is simple and effective which is an ideal way to simplify nursery procedure and spare nursery resource.

收集我院2003年至2006年间共3298例阴道分娩的产妇采用两种不同的备皮方法，观察两种备皮方法对会阴侧切伤口的影响进行回顾性对比分析。结果：两种备皮方法对会阴侧切伤口的愈合影响无明显差异。结论：不剃毛的会阴备皮方法对阴道分娩的手术野消毒无不良影响，并且能够节省护理操作时间、降低产妇费用、减轻产妇不适，所以不剃毛的备皮方法优于剃毛的备皮方法，不剃毛的备皮方式简单而有效，是简化护理工作程序及节省护理人力资源的理想办法。

At such a rate,the suffocation incidence of the newborn was about 606％,and the incidence of complication and sequelae of the puerperaants was about 5.58％.Conclusion: The perineotomy parturitono may have remarkable significance in the second course of parturition in avoiding perineum laceration,alleviating the pressure of the pelvic tissues on fetus' head,shortening the second course of parturition,as well as in decreasing the suffocation incidence of the newborn.

会阴切开阴道助产术在第二产程中为避免会阴及盆底严重裂伤，减轻盆底组织对胎头的压迫、缩短第二产程、加速分娩、降低新生儿窒息率具有很大的意义，只有合理掌握手术的指征以及避免过多干预和进行手术助产，会阴切开阴道助产术就可取得良好的效果，侧切率就能得到很好的控制，否则将会产生一系列并发症，对母婴带来很大的危害。

Methods To observe 110 primiparas of 37～40 weeks' pregnancy,head presentation,who can deliver vaginally with distending the vagina and new protecting perineum method but not with perineal lateralis,and compare with the 108 primiparas with traditional protecting perineum method.

选择孕37～42周，经阴道自然分娩，无会阴侧切指征的单胎头位初产妇110例作观察组，在助产中用扩张阴道和改良托肛加指法保护会阴；以往用传统托肛法保护会阴的108例作对照组。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。