摘要
目的分析会阴按摩与自由体位联合应用对产妇分娩结局的影响。方法随机选取2021年7月—2022年4月在阳春市人民医院产科分娩的初产妇140名,随机将其分为两组,各70名。对照组分娩采用传统体位,观察组采取孕晚期会阴按摩联合自由体位分娩,比较两组分娩情况。结果观察组各产程时间与总产程时间均短于对照组,差异有统计学意义(P<0.05),观察组自然分娩率(94.28%)高于对照组(82.86%),剖宫产率(2.86%)低于对照组(11.43%),差异有统计学意义(χ^(2)=4.516、3.877,P<0.05)。观察组第二产程PPI、PRI、VAS评分均显著低于对照组,差异有统计学意义(t=10.463、7.413、9.898,P<0.05);观察组会阴损伤程度以及产后第1天会阴水肿分级轻于对照组,差异有统计学意义(Z=2.957、2.870,P<0.05)。结论会阴按摩联合自由体位分娩,能够有效缩短产妇产程时间,加速产程进展,减轻产妇分娩疼痛,增强产妇分娩信心,促进自然分娩,降低剖宫产率和会阴损伤率,有效提升产科质量。
Objective To analyze the effect of combined application of perineal massage and free position on maternal labor outcome.Methods One hundred and forty first-time mothers who delivered in the obstetrics and gynecology de⁃partment of Yangchun People's Hospital from July 2021 to April 2022 were randomly divided into two groups with equal numbers of cases,70 cases each.The control group delivered in the traditional position,and the observation group delivered in late perineal massage combined with free position.The delivery was compared between the two groups.Results The duration of each stage of labor and the total duration of labor in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05),the spontaneous delivery rate(94.28%)was higher than that in the control group(82.86%),and the cesarean delivery rate(2.86%)was lower than that in the control group(11.43%),the difference was statistically significant(χ^(2)=4.516,3.877,P<0.05).The PPI,PRI,and VAS scores in the second stage of labor were lower in the observation group than in the control group,the dif⁃ference was statistically significant(t=10.463,7.413,9.898,P<0.05).The degree of perineal injury and the grading of perineal edema on the first postpartum day were lighter in the observation group than in the control group,the differ⁃ence was statistically significant(Z=2.957,2.870,P<0.05).Conclusion Perineal massage combined with free position delivery can effectively shorten labor time,accelerate labor progress,reduce labor pain,enhance labor confidence,pro⁃mote natural delivery,reduce cesarean section rate and perineal injury rate,and effectively improve obstetric quality.
作者
桂千慧
柯昌娜
郭柳
GUI Qianhui;KE Changna;GUO Liu(Department of Obstetrics and Gynecology,Yangchun People's Hospital,Yangchun,Guangdong Province,529600 China)
出处
《中外医疗》
2023年第1期40-43,48,共5页
China & Foreign Medical Treatment
基金
阳江市卫生健康局科技计划项目(阳卫健2021008)。
关键词
会阴按摩
自由体位
疼痛程度
分娩结局
会阴损伤
自然分娩
Perineal massage
Free position
Pain level
Labor outcome
Perineal injury
Natural childbirth
