摘要
目的探讨自然分娩后会阴疼痛程度的影响因素。方法选取2021年5月至2022年5月南京市江宁医院自然分娩的586名产妇为研究对象。采用疼痛视觉模拟量表(VAS)评分评估产妇自然分娩后的会阴疼痛程度,将会阴疼痛程度分为轻度(n=391)、中度(n=149)及重度(n=46)。分析会阴疼痛的影响因素,并构建非药物干预措施。结果单因素分析结果显示,疼痛程度轻度、中度和重度的体重指数(BMI)、是否为初产妇、术中失血量、会阴裂伤、夫妻关系、焦虑情绪以及是否使用会阴冰敷比较,差异有统计学意义(P<0.05)。多因素logistic分析结果提示,BMI(β=1.908,OR=6.738,95%CI:3.416~13.289)、初产妇(β=3.328,OR=27.869,95%CI:9.758~79.593)、术中出血量(β=1.765,OR=5.839,95%CI:3.001~11.361)、会阴裂伤(β=2.541,OR=12.695,95%CI:4.466~36.087)、夫妻关系(β=3.027,OR=20.630,95%CI:10.144~41.954)、焦虑情绪(β=3.110,OR=22.420,95%CI:10.999~45.701)是影响产妇疼痛程度的危险因素(P<0.05);会阴冰敷(β=-3.448,OR=0.032,95%CI:0.015~0.067)是影响产妇疼痛程度的保护因素(P<0.05)。结论BMI、初产妇、术中失血量、会阴裂伤、夫妻关系、焦虑情绪、会阴冰敷是影响产妇疼痛程度的影响因素。
Objebtive To explore the factors influencing the degree of perineal pain after natural delivery.Methods A total of 586 parturients who gave birth naturally in Nanjing Jiangning Hospital from May 2021 to May 2022 were selected as subjects.Visual analog scale(VAS)was used to evaluate the degree of perineal pain after natural delivery,and the degree of perineal pain was divided into mild(n=391),moderate(n=149)and severe(n=46).The influencing factors of perineal pain were analyzed,and non-drug intervention measures were constructed.Results Univariate analysis showed that there were statistically significant differences in body mass index(BMI)of mild,moderate and severe pain,whether the patient was a first-time parturient,intraoperative blood loss,perineal laceration,marital relationship,anxiety,and whether the patient used perineal ice(P<0.05).Multivariate logistic analysis results suggested that BMI(β=1.908,OR=6.738,95%CI:3.416-13.289),pueraria(β=3.328,OR=27.869,95%CI:9.758-79.593),intraoperative blood loss(β=1.765,OR=5.839,95%CI:3.001-11.361),perineal laceration(β=2.541,OR=12.695,95%CI:4.466-36.087),marital relationship(β=3.027,OR=20.630,95%CI:10.144-41.954),anxiety(β=3.110,OR=22.420,95%CI:10.999-45.701)were the risk factors affecting the degree of maternal pain(P<0.05).Perineal ice compress(β=-3.448,OR=0.032,95%CI:0.015-0.067)was a protective factor affecting the degree of maternal pain(P<0.05).Conclusion BMI,primiparous women,intraoperative blood loss,perineal laceration,spousal relationship,anxiety and perineal ice compress were the influencing factors of maternal pain.
作者
祁蓉
徐美玲
宋德玲
刘姣
张佳佳
QI Rong;XU Meiling;SONG Deling;LIU Jiao;ZHANG Jiajia(Department of Obstetrics and Gynecology,Nanjing Jiangning Hospital,Jiangsu Province,Nanjing211100,China)
出处
《中国当代医药》
CAS
2023年第12期94-97,共4页
China Modern Medicine
关键词
自然分娩
会阴疼痛
影响因素
产妇
非药物干预
Natural childbirth
Perineal pain
Influencing factor
Puerpera
Non-drug intervention
