摘要
目的探讨产程体位管理干预辅助应用对单胎足月产妇产程时间及母婴结局的影响。方法选取邯郸市中心医院2015年6月至2017年6月单胎足月产妇共100例为研究对象,以随机数字表法分为对照组(50例)和观察组(50例),分别给予常规护理干预和在此基础上加用产程体位管理干预。比较两组产妇阴道分娩率、器械助产率、会阴裂伤程度、第二产程时间、产妇用力时间、产时出血量、新生儿窒息率及分娩满意度。结果观察组产妇阴道分娩率(90.0%)和器械助产率(4.0%)均优于对照组(70.0%、20.0%)(P<0.05);观察组产妇会阴完整率(22.0%)高于对照组(6.0%),第二产程时间[(45.96±7.41)min]、产妇用力时间[(33.87±5.64)min]、产时出血量[(120.34±44.83)m L]及新生儿窒息率(0.0%)均少于对照组[(63.02±10.17)min、(61.12±10.02)min、(143.61±50.15)m L、6.0%](P<0.05);观察组产妇分娩满意度高于对照组(P<0.05)。结论产程体位管理干预辅助应用于单胎足月产妇可有效降低剖宫产和器械助产风险,减轻会阴裂伤、缩短第二产程,避免新生儿窒息发生,并有助于提高分娩满意度。
Objective To investigate the influence of labor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth.Methods 100 full-term puerperal with single birth in the period from June 2015 to June 2017 in Handan Central Hospital were chosen and randomly divided into two groups including control group（ 50 cases） with conventional nursing intervention and observation group（ 50 cases） with labor management intervention on the basis of control group.The vaginal delivery rate,the equipment delivery rate,the perineal laceration degree,the second stage time of labor force,the forcibly time of maternal,the amount of bleeding in production,the incidence of neonatal birth asphyxia and the delivery satisfaction degree of both groups were compared.Results The vaginal delivery rate（ 90.0 %） and the equipment delivery rate（ 4.0 %） of observation group were significant better than control group（ 70.0 %,20.0 %）（ P 0.05）.The perineal laceration degree of observation group（ 22.0 %） were significant better than control group（ 6.0 %）（ P 0.05）.The second stage time of labor force,the forcibly time of maternal,the amount of bleeding in production and the incidence of neonatal birth asphyxia of observation group[（ 45.95 ± 7.41） min,（ 33.87 ± 5.64） min,（ 120.34 ± 44.83） m L,0.0 %] were significant better than control group [（ 63.02± 10.17） min,（ 61.12 ± 10.02） min,（ 143.61 ± 50.15） m L,6.0 % ]（ P 0.05）.The delivery satisfaction degree of observation group were significant higher than control group（ P 0.05）.Conclusion Labor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth can efficiently reduce the risk of cesarean section and instrumental delivery,relieve the perineal laceration degree,shorten the second stage time of labor,avoid the neonatal asphyxia occurrence and be helpful to improve the delivery satisfaction.
作者
张蕾
苏晓丹
张东海
赵丽森
ZHANG Lei;SU Xiao-dan;ZHANG Dong-hai;ZHAO Li-sen(Operating Room,Handan Central Hospital;Department of Obstetrics,Daming County People＇s Hospital,Handan Hebei 056000,P.R.China)
出处
《中国计划生育和妇产科》
2018年第8期69-71,共3页
Chinese Journal of Family Planning & Gynecotokology
基金
河北省卫生厅科技成果推广课题(项目编号:20171156)
关键词
产程体位管理干预
分娩
产程时间
母婴结局
labor management intervention
delivery
delivery time
maternal and neonatal outcomes
