摘要
目的探讨围孕期及围产期的精神干预镇痛方法对分娩疼痛的影响。方法选择收治的分娩的孕产妇229例,根据是否接受孕产妇培训分为观察组和对照组,观察组127例接受孕妇培训课程且必须听课完全,对照组112例给予常规宣教、传统的分娩方式和常规出院随访。分析患者的一般情况、产前心理状态、分娩方式、产程时间、分娩疼痛程度、妊娠期并发症、新生儿窒息及半年内婴儿健康状况与精神干预镇痛方法的关系。结果观察组孕产妇的产前焦虑情绪、分娩的疼痛程度较对照组明显减轻(P<0.05),第一产程、第二产程和总产程时间较对照组明显缩短(P<0.05),自然分娩率较对照组高(P<0.05);妊娠期并发症发生率、新生儿窒息率较对照组降低(P<0.05),婴幼儿出生半年内的健康状况较对照组提高(P<0.05)。结论精神干预分娩镇痛法能明显减轻孕产妇的产前焦虑情绪及分娩过程中的疼痛程度,有效降低剖宫产率、产后出血率和新生儿窒息率并缩短产程时间,减少妊娠期并发症的发生,极大地提高了婴幼儿出生半年内的健康状况。
Objective To observe the effects of psychological intervention on maternal and fetal health duration of pregnancy and at perinatal stage.Methods A total of 229 pregnant women and parturients were divided into observation group(n=127)and control group(n=112)according to whether they received maternal training or not.The 112 pregnant women in control group were given routine education,with traditional labor and delivery and follow-up,however,the 127 pregnant women in observation group,on the basis of control group,were given complete maternal training courses.The general data,antenatal psychological state,delivery mode,labor time,labor pain degree,gestational period complications,neonatal asphyxia rate and the correlation between infant’s health state and psychological intervention analgesia mode within 6 months were observed and compared between two groups.Results The prenatal anxiety degree and labor pain degree in observation group were significantly lower than those in control group(P<0.05).The first and second labor time and total labor time in observation group were significantly shorter than those in control group(P<0.01).Moreover the natural birth rate in observation group was significantly higher than that in control group(P<0.05),and the incidence rates of gestational period complications and neonatal asphyxia in observation group were significantly lower than those in control group(P<0.05).In addition the infant’s health state within six months in observation group was superior to that in control group(P<0.03).Conclusion The psychological intervention labor analgesia method can obviously relieve antepartum anxiety emotion and labor pain degree during childbirth,which can effectively reduce the incidence rates of cesarean delivery,postpartum hemorrhage and neonatal asphyxia,which can also shorten the labor time,reduce the incidence of complications during pregnancy,therefor,which can greatly improve the health of infants within 6 months.
作者
何丽娜
李慧
张泽慧
郭卫
HE Lina;LI Hui;ZHANG Zehui(epartment of Obstetrics and Gynecology,Chang’an Hospital of Xi’an City,Shaanxi,Xi’an 710016,China)
出处
《河北医药》
CAS
2018年第7期1003-1007,共5页
Hebei Medical Journal
关键词
精神干预
分娩镇痛
母婴健康
psychological intervention
labor analgesia
maternal and infant health
