摘要
目的探讨初产妇自由体位待产对分娩镇痛期间尿潴留的临床影响。方法选择2019年6~12月于本院实施硬膜外麻醉分娩镇痛期间的初产妇200例为研究对象,按随机数字表法分为两组,每组各100例。对照组行常规体位护理干预,观察组实施自由体位待产,比较两组干预前后泌尿系统症状困扰积分变化情况;比较两组胎儿娩出前尿潴留发生情况;比较两组第一产程及第二产程时间;比较两组母婴结局情况。结果观察组泌尿系统症状困扰积分显著低于对照组(P<0.05),观察组自行排尿后膀胱残余尿量显著少于对照组(P<0.05),观察组尿潴留发生率显著低于对照组(P<0.05),观察组第一产程时间及第二产程时间均明显短于对照组(P<0.05),观察组胎方位异常、第一产程潜伏期延长、手术助产、严重产后出血(≥1000mL)、新生儿窒息的总比例显著低于对照组(P<0.05)。结论针对初产妇硬膜外麻醉分娩镇痛期间实施自由体位待产,能有效缓解泌尿系统不适,改善膀胱功能,降低尿潴留发生率,并减少母婴并发症,提高母婴安全。
Objective To explore the clinical effects of primipara's free body position in predelivery on urinary retention during labor analgesia.Methods From June 2019 to December 2019,200 primiparas who underwent epidural anesthesia during labor analgesia admitted to our hospital were selected as the research objects and were randomly divided into the control group(n=100)and the observation group(n=100).The control group was given conventional body position nursing intervention,while the observation group was given free body position in predelivery.The changes of urinary system symptom distress scores before and after intervention were compared between the two groups.The incidences of urinary retention in predelivery were compared between the two groups.The time of the first and the second stages of labor were compared between the two groups.The maternal and infant outcomes were compared between the two groups.Results The urinary system symptom distress score in the observation group was significantly lower than that in the control group(P<0.05).The residual urine volume of bladder in the observation group after self-urination was significantly less than that in the control group(P<0.05).The incidence of urinary retention in the observation group was significantly lower than that in the control group(P<0.05).And the time of the first and the second stages of labor in the observation group were significantly shorter than those in the control group(P<0.05).The total proportion of abnormal fetal position,prolonged latency in the first stage of labor,surgical delivery,severe postpartum hemorrhage(≥1000mL)and neonatal asphyxia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Primiparas'free body position in predelivery during labor analgesia under epidural anesthesia effectively relieves urinary discomfort,improves bladder function,reduces incidence of urinary retention,decreases maternal and infant complications and increases their safety.
作者
陈芳
CHEN Fang(Maternity Ward,Tai'an Maternal and Child Health Hospital,Shandong,Tai'an 271000,China)
出处
《中国医药科学》
2020年第18期112-115,共4页
China Medicine And Pharmacy
关键词
初产妇
自由体位
分娩镇痛
尿潴留
Primiparas
Free body position
Labor analgesia
Urinary retention
