产程中镇痛分娩配合体位护理的临床研究(1)
【摘要】 目的：探讨对初产妇给予产程中镇痛分娩+体位护理干预的临床效果。方法：选择笔者所在医院2015年5月-2017年1月收治的61例初产妇作为试验对象；根据干预方式不同对初产妇进行分组；对照组(31例)选择传统方式完成分娩；观察组(30例)选择分娩镇痛仪+体位护理方法完成分娩。对两组初产妇镇痛效果及新生儿并发症发生率展开对比。结果：与对照组初产妇镇痛总有效率(58.06%)对比，观察组初产妇(96.67%)提高程度极为明显，两组比较差异有统计学意义(P<0.05)；与对照组初产妇新生儿并发症发生率(29.03%)对比，观察组初产妇(3.33%)降低程度极为明显，两组比较差异有统计学意义(P<0.05)。结论：对于初产妇在分娩期间合理选择镇痛分娩+体位护理的方式加以干预，对于镇痛效果的提高及新生儿并发症的减少可以做出保证，从而优化母婴预后能力。
【关键词】 产程； 镇痛分娩； 体位护理
doi：10.14033/j.cnki.cfmr.2018.9.043 文献标识码 B 文章编号 1674-6805(2018)09-0087-02
Clinical Study on the Analgesic Labor Combined with Body Position Nursing Care During Delivery/HUANG Qingjie.//Chinese and Foreign Medical Research，2018，16(9)：87-88
【Abstract】 Objective：To investigate the clinical effect of analgesia delivery and postural nursing intervention on primipara during labor.Method：Chose in 61 cases of primipara in the hospital from may 2015 to January 2017 as experimental objects.According to the different intervention on primipara，61 cases were divided in two groups；control group(31 cases) used the traditional way of delivery，the observation group(30 cases) used labor analgesia instrument+position nursing method to complete the delivery.Analgesic effect and neonatal complications were contrasted.Result：In the control group，the total effective rate of analgesia primipara (58.06%)，the observation group of primipara(96.67%)，increased significantly compared with the control group(P<0.05)；early maternal neonatal complications(29.03%)，the observation group of primipara(3.33%)，decreased significantly compared with the control group (P<0.05).Conclusion：For primipara during childbirth，analgesia and reasonable choice of the way of nursing intervention，the analgesic effect and reducing neonatal complications can be guaranteed，so as to optimize the ability of maternal fetal prognosis.
【Key words】 Delivery process； Analgesic delivery； Body position nursing
First-author’s address：The First Affiliated Hospital of Xiamen University， Xiamen 361003，China
对于初產妇在准备分娩期间，因为内心针对分娩疼痛过于担忧，从而在生理及心理方面均表现出相应反应[1]。在产程期间，因为胎儿下降、宫口扩张及子宫收缩等原因影响，对产妇造成的疼痛感尤为显著，从而对母婴安全造成威胁。通过对初产妇施以分娩镇痛干预，可以确保产妇的产程获得缩短，并且可以将最终不良结局出现概率显著降低，对此确定有效方法对初产妇给予产程干预，以对分娩期母婴安全做出保证表现出显著价值[2]。本文意在明确最佳初产妇分娩干预方式，以此证明镇痛分娩+体位护理的临床应用价值。
1 资料与方法
1.1 一般资料
选择笔者所在医院2015年5月-2017年1月收治的61例初产妇作为试验对象；根据干预方式不同对初产妇进行分组；对照组(31例)：年龄22～39岁，平均(26.53±3.15)岁；孕周
38～40周，平均(39.52±0.43)周；观察组(30例)：年龄23～38岁，平均(26.55±3.19)岁；孕周37～41周，平均(39.95±0.63)周。两组初产妇年龄、孕周对比，差异无统计学意义(P>0.05)，有可比性。产妇及其家属对于本次研究全部知情，并且完成知情同意书签署。研究符合伦理学要求。, 百拇医药(黄清姐)
【关键词】 产程； 镇痛分娩； 体位护理
doi：10.14033/j.cnki.cfmr.2018.9.043 文献标识码 B 文章编号 1674-6805(2018)09-0087-02
Clinical Study on the Analgesic Labor Combined with Body Position Nursing Care During Delivery/HUANG Qingjie.//Chinese and Foreign Medical Research，2018，16(9)：87-88
【Abstract】 Objective：To investigate the clinical effect of analgesia delivery and postural nursing intervention on primipara during labor.Method：Chose in 61 cases of primipara in the hospital from may 2015 to January 2017 as experimental objects.According to the different intervention on primipara，61 cases were divided in two groups；control group(31 cases) used the traditional way of delivery，the observation group(30 cases) used labor analgesia instrument+position nursing method to complete the delivery.Analgesic effect and neonatal complications were contrasted.Result：In the control group，the total effective rate of analgesia primipara (58.06%)，the observation group of primipara(96.67%)，increased significantly compared with the control group(P<0.05)；early maternal neonatal complications(29.03%)，the observation group of primipara(3.33%)，decreased significantly compared with the control group (P<0.05).Conclusion：For primipara during childbirth，analgesia and reasonable choice of the way of nursing intervention，the analgesic effect and reducing neonatal complications can be guaranteed，so as to optimize the ability of maternal fetal prognosis.
【Key words】 Delivery process； Analgesic delivery； Body position nursing
First-author’s address：The First Affiliated Hospital of Xiamen University， Xiamen 361003，China
对于初產妇在准备分娩期间，因为内心针对分娩疼痛过于担忧，从而在生理及心理方面均表现出相应反应[1]。在产程期间，因为胎儿下降、宫口扩张及子宫收缩等原因影响，对产妇造成的疼痛感尤为显著，从而对母婴安全造成威胁。通过对初产妇施以分娩镇痛干预，可以确保产妇的产程获得缩短，并且可以将最终不良结局出现概率显著降低，对此确定有效方法对初产妇给予产程干预，以对分娩期母婴安全做出保证表现出显著价值[2]。本文意在明确最佳初产妇分娩干预方式，以此证明镇痛分娩+体位护理的临床应用价值。
1 资料与方法
1.1 一般资料
选择笔者所在医院2015年5月-2017年1月收治的61例初产妇作为试验对象；根据干预方式不同对初产妇进行分组；对照组(31例)：年龄22～39岁，平均(26.53±3.15)岁；孕周
38～40周，平均(39.52±0.43)周；观察组(30例)：年龄23～38岁，平均(26.55±3.19)岁；孕周37～41周，平均(39.95±0.63)周。两组初产妇年龄、孕周对比，差异无统计学意义(P>0.05)，有可比性。产妇及其家属对于本次研究全部知情，并且完成知情同意书签署。研究符合伦理学要求。, 百拇医药(黄清姐)