刘清芳

    【摘要】目的：探讨胎心监护联合综合干预在第二产程中的应用及其效果。方法：选择我院2021年1月—2023年1月期间收治的120例孕产妇，以随机数字表法将这些孕产妇分为60例观察组和60例对照组，观察组孕产妇在第二产程中应用胎心监护联合综合干预，对照组孕产妇则不应用胎心监护，配合常规护理，比较两组孕产妇阴道自然分娩率、剖宫产率，第二产程和第三产程时间，产时出血量、产后出血量以及新生儿Apagar评分低于7分、发生肺炎的情况。结果：观察组产妇阴道自然分娩49例，剖宫产11例，自然分娩率与剖宫产率分别是81.7%和18.3%，指标均优于对照组的55%和45%。观察组产妇第二产程与第三产程时间分别为(45.6±9.5)min和(8.2±5.0)min，均少于对照组的(54.7±4.8)min和(8.7±4.8)min。观察组产妇产时与产后出血量分别为(98.4±33.7)min和(1.7±1.1)mL，少于对照组的(138.1±40.6)min和(2.8±1.1)mL。观察组新生儿Apgar评分≤7分有2例，少于对照组的9例，发生新生儿肺炎2例，少于对照组的8例(P<0.05)。结论：应用胎心监护联合综合干预为产妇在第二产程加强监护与护理，有助于推进产妇第二产程更顺利进行，缩短产程时间，减少出血量，提高自然分娩率，改善新生儿预后，具有很高的应用价值。

    【关键词】胎心监护；综合干预；第二产程；阴道自然分娩率

    Application of fetal heart monitoring combined with comprehensive intervention nursing in the second stage of labor

    LIU Qingfang

    People’s Hospital of Linze County， Zhangye City， Zhangye， Gansu 734200， China

    【Abstract】Objective： To investigate the application and effect of fetal heart monitoring combined with comprehensive intervention in the second stage of labor. Method： A total of 120 pregnant women admitted to our hospital from January 2021 to January 2023 were selected and divided into 60 observation group and 60 control group by random number table method. Pregnant women in the observation group received fetal heart monitoring combined with comprehensive intervention during the second between the two groups. Results： There were 49 cases of natural vaginal delivery and 11 cases of cesarean section in the observation group. cases with neonatal pneumonia ......