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全程陪护对实施全产程腰硬联合阻滞分娩镇痛孕妇生理及心理影响的临床观察(1)
http://www.100md.com 2010年11月1日 邱雪娟 高思民 周朝明
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     【中图分类号】R714.3 【文献标识码】A 【文章编号】1672-6383(2010)11-0009-02

    【摘要】目的: 探讨全程陪护对实施全产程腰硬联合阻滞分娩镇痛孕妇生理及心理的影响。方法: 选择住院分娩120例孕妇,按知情同意、自主选择的方法,随机分为观察组和对照组各60例。两组均为全产程腰硬联合阻滞分娩镇痛。观察组实施全程陪护,对照组实施传统服务模式即分段管理,观察两组孕妇的焦虑程度、镇痛效果、产程时间、出血量、分娩方式,新生儿Apgar评分等。结果: 两组孕妇的焦虑程度、镇痛效果、产程时间、出血量、剖宫产、新生儿窒息等情况比较差异有显著性(P<0.05)。结论: 在全产程腰硬联合阻滞分娩镇痛中,全程陪护可缓解孕妇焦虑情绪,提高镇痛效果,缩短产程,减少出血量,降低剖宫产率及新生儿窒息率,是一种理想的以孕妇为中心的产时分娩服务模式,有利于提高产时质量,保证母婴安全。

    【关键词】陪护 ;全产程;分娩镇痛;腰硬联合阻滞

    Whole distance accompany to produce a distance waist to all of the implement hard consociation Zu Zhi give birth to baby town pain pregnant woman physiology and mental state influence of clinical observation

    Qiu Xuejuan Gao Siming Zhou Chaoming

    【Abstract】Purpose: The study whole distance accompany to produce a distance waist to all of the implement hard consociation Zu Zhi give birth to baby town pain pregnant woman physiology and mental state of influence.Method: Choice hospitalization give birth to baby 120 pregnant woman, press know what happened approval, independence choice of method, random is divided into observation set and matched control 60 for each.2 set all for whole produce a distance waist hard consociation Zu Zhi childbearing town pain.Observation set implement the whole distance accompany, matched control implement tradition service mode namely cent segment management, observation two sets of pregnant woman of worry anxiously degree, town pain effect, produce distance time, bleed quantity, give birth to baby way, new born Apgar grade point etc..Result: The worry anxiously degree, town of two sets of pregnant woman pain effect, produce distance time, bleed quantity, the Pou temple produce, new born suffocate etc. circumstance comparison the difference have already shown Zhao.(P<0.05)Conclusion: In wholely produce the distance waist hardly the consociation the Zu Zhi the childbearing the town the pain, the whole distance accompany and can alleviate a pregnant woman worry anxiously motion, exaltation town pain effect, shorten to produce a distance, decrease bleed quantity, lower a Pou temple to produce rate and new born asphyxiation rate, is a kind of ideal of take pregnant woman as center of produce give birth to baby service mode, while being advantageous to exaltation to produce quality, assurance mother baby safety ......

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