摘要
目的探讨自由体位联合拉玛泽呼吸法在缓解阴道分娩产妇产程疼痛中的应用。方法选取北京市丰台中西医结合医院妇产科2016年12月至2017年2月收治的210例产妇为观察组,采用自由体位联合拉玛泽呼吸法分娩。选取该院妇产科2016年9至11月收治的220例产妇为对照组,采用常规体位分娩。比较两组产妇的产程疼痛、产程进展、母婴结局等。结果观察组疼痛程度分级较低,以0级、Ⅰ级疼痛为主,对照组疼痛程度分级较低,以Ⅱ级为主,两组产妇产程疼痛分级经Fisher确切概率法检验有显著性差异,观察组优于对照组(P<0.01)。观察组第一产程中的加速期时间、第二产程、总产程时间均显著短于对照组(t值分别为-3.681、-4.567、-2.451,均P<0.05),两组产妇潜伏期、减速期均无显著性差异(t值分别为-0.522、-1.682,均P>0.05)。观察组转剖宫产率、胎儿宫内窘迫率、新生儿窒息率、产后出血率均显著低于对照组(χ~2值分别为8.462、12.394、9.005、4.537,均P<0.05)。结论自由体位联合拉玛泽呼吸法能够减少阴道分娩产妇产程疼痛,促进产程进展,降低剖宫产率,改善母婴结局。
Objective To investigate the application of free position combined with ramaze breathing on labor pain at vaginal delivery.Methods Altogether 210 pregnant women admitted in obstetrics and gynecology department of Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine from December 2016 to February 2017 were selected as observation group,who used free position combined with ramaze breathing delivery method. Another 220 cases of pregnant women admitted in the department of the hospital were selected into control group from September to November in 2016 with conventional position. Maternal labor pain,progress of labor,maternal and child outcomes were compared between two groups. Results Pain scale in the observation group was low,with majority of grade 0 and Ⅰ. Pain scale in the control group was low,with majority of grade Ⅱ. Difference in pain scale between two groups tested by Fisher＇s exact probability method had statistical significance,with observation group better than control group（P〈0. 01）. Acceleration period in first labor stage,time of second labor stage and whole birth process in the observation group were shorter than those in the control group（t value was-3. 681,-4. 567 and-2. 451,respectively,all P〈0. 05）. Maternal incubation period and deceleration period in two groups had no significant difference（t value was-0. 522 and-1. 682,respectively,both P〈0. 05）. Cesarean section rate and incidences of intrauterine fetal distress,neonatal asphyxia and postpartum hemorrhage in the observation group were significantly lower than those in the control group（χ~2value was 8. 462,12. 394,9. 005 and 4. 537,respectively,all P〈0. 05）. Conclusion Free posture combined with ramaze breathing method can reduce labor pain at vaginal delivery,promote progress of labor,reduce rate of cesarean section and improve maternal and neonatal outcomes.
出处
《中国妇幼健康研究》
2017年第6期736-738,共3页
Chinese Journal of Woman and Child Health Research
关键词
自由分娩
拉玛泽呼吸
阴道分娩
产程疼痛
产程进展
free posture delivery
ramaze breathing
vaginal delivery
labor pain
progress of labor
