摘要
目的探究自由体位提高自然分娩率降低剖宫产临床有效性。方法选取2014年10月至2016年10月于本院就诊及生产的80例产妇作为研究对象,随机分为试验组和对照组,每组各有40例。对照组产妇应用常规的卧位方式进行分娩,试验组产妇应用自由体位方式进行分娩,分析比较两组产妇的分娩方式、护理满意度、总产程时间及视觉模拟评分(VAS评分)。结果试验组产妇的自然分娩率为87.50%明显高于对照组的60.00%,试验组的剖宫产率(12.50%)明显低于对照组(40.00%)(P<0.05);试验组产妇的护理满意度(97.50%)与对照组产妇(75.00%)比较,组间差异明显(P<0.05);试验组产妇的总产程时间、VAS评分分别为(7.13±1.06)h、(3.51±0.52)分,与对照组产妇的(10.87±1.24)h、(6.32±0.79)分相比,组间差异显著(P<0.05)。结论对产妇采取自由体位的方式进行分娩可明显提高自然分娩率,降低产妇的剖宫产率,加快产程,明显减轻分娩疼痛,值得进一步推广使用。
Objective To study the clinical effectiveness of free position in improving the natural delivery rate and reducing cesarean section. Methods Eighty cases of puerpera admitted in our hospital from October 2014 to October 2016 were selected and randomly divided into experimental group and control group, with 40 cases in each group. The control group was treated with conventional supine method and the experimental group maternal was applied free body position for childbirth. The delivery mode, the nursing satisfaction, the total labor time and the visual analogue scale（VAS） were compared between the two groups. Results The rate of natural delivery of experimental group was 87.50%, which was higher than 60.00% of the control group; the rate of cesarean section（12.50%） was lower than that in the control group（40.00%）（P〈0.05）. There were significant differences in the care satisfaction between the experimental group（97.50%） and control group（75.00%）（P〈0.05）. The total labor time and VAS score of the experimental group maternal were（7.13 ±1.06） h,（3.51±0.52）, which were better than（10.87±1.24） h,（6.32±0.79） h in the control group, there were significant differences between the two groups（P〈0.05）. Conclusion It is possible to improve the rate of natural childbirth, reduce the rate of cesarean section, shorten the labor time and relieve the pain obviously by taking the free body position, which is worthy of popularization and application.
出处
《临床医学研究与实践》
2017年第30期131-132,共2页
Clinical Research and Practice
关键词
自由体位
自然分娩
剖宫产
free position
natural delivery
cesarean section
