摘要
目的探讨拉玛泽呼吸法及分娩球配合自由体位在第一、二产程中的应用效果。方法选取我院2016年3月—2017年1月期间在妇产科进行分娩的产妇82例作为本次研究对象,将2016年3月—2016年8月生产的产妇设为对照组,2016年9月—2017年1月生产的产妇设为观察组,每组各41例。对照组予以传统待产方式,观察组予以拉玛泽呼吸法及分娩球配合自由体位待产,观察两组产妇产痛程度、产程时间、产妇的分娩方式及新生儿的Apgar评分。结果观察组的镇痛无效率为19.51%显著低于对照组的51.22%,差异有统计学意义(X^2=9.016 3,P=0.002 7);观察组所有产程时间均显著低于对照组(P<0.05);观察组患者产后2 h出血量显著少于对照组(P<0.05);观察组正常阴道分娩率为92.68%、8~10分新生儿的Apgar评分为95.12%显著高于对照组的75.61%、73.17%(P<0.05)。结论拉玛泽呼吸法及分娩球配合自由体位能有效地减少在第一、二产程时间,同时增加镇痛的有效性和减少剖宫产率。
Objective To investigate the application effect of Lamaze breathing and birth ball combined with free po- sition in the first and second stage of labor in the. Methods In our hospital from March 2016 to January 2017 during the ob- stetrics childbirth maternal 82 cases as the research object, the March 2016 to August 2016 annual production were selected as the control group, September 2016 to January 2017 the production of maternal observation group patients, there were 41 eases in each group, the control group was treated with the traditional way of labor, observation the patients were treated with Ramaze breathing and birth ball combined with free position, two groups of maternal pain, labor time, maternal delivery and neonatal Apgar score were observed. Results The observation group maternal analgesia invalid rate of 19. 51% was signifi- cantly lower than the control group 51.22%, and the statistical results show that Z2 = 9. 016 3, P = 0. 002 7 ; The observation group all labor time were significantly lower than the control group （ P 〈 0.05 ） , and the patients in the observation group 2 hours postpartum hemorrhage was significantly less than the control group （ P 〈 0. 05 ） ; The observation group for normal vagi- nal delivery 92.68% 8 - 10, neonatal Apgar score of 95.12% was significantly higher than the control group 75.61% , 73.17% （P 〈 0. 05）. Conclusion Ramaze breathing and birth ball combined with free position can be effectively reduced in the first stage of labor time, and increase the effectiveness of analgesia and reduce the rate of cesarean section.
出处
《现代医院》
2017年第6期895-897,共3页
Modern Hospitals
基金
赣州市科技计划项目(编号:GZ2014ZSF416)
