拉梅滋呼吸法应用于自然分娩产妇镇痛中的效果分析
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摘要
目的探讨拉梅滋呼吸法在自然分娩产妇镇痛中的应用效果。方法选取2016年1月-2017年1月南京医科大学附属无锡第二医院收治的采用常规护理的自然分娩产妇83例作为对照组,另选取2017年2月-2018年2月该院收治的采用拉梅滋呼吸法的自然分娩产妇83例作为观察组。对比2组镇痛效果、产程、出血量及分娩方式。结果观察组与对照组镇痛效果差异有统计学意义(P<0.05);观察组第一产程、第二产程时间均短于对照组,差异有统计学意义(P<0.05),第三产程时间与对照组相比,差异无统计学意义(P>0.05);观察组出血量与对照组相比,差异无统计学意义(P>0.05);观察组阴道助产率低于对照组,顺产率高于对照组,差异有统计学意义(P<0.05)。结论拉梅滋呼吸法应用于自然分娩产妇镇痛可有效减轻其疼痛程度,缩短产程时间,减少产中出血量,且提高顺产率,值得临床推广。
Objective To explore the analgesia effects of Lamezi′s breathing method in natural parturient women. Methods From January 2016 to January 2017, 83 cases of natural delivery women who received routine nursing in our hospital were selected as the control group. The patients who took the hospital from February 2017 to February 2018 were treated with the Lamezi breathing method. 83 cases of natural delivery were used as observation group. The analgesic effect, labor, blood loss and mode of delivery were compared between the two groups. Results The analgesic effect of the observation group was statistically significant(P<0.05). The first stage of labor and the second stage of labor in the observation group were shorter than the control group, the difference was statistically significant(P<0.05), the third stage of labor. There was no significant difference between the time and the control group(P>0.05). There was no significant difference between the observation group and the control group(P>0.05). The vaginal assist rate of the observation group was lower than that of the control group, and the yield was higher than that of the control group. In the control group, the difference was statistically significant(P<0.05). Conclusion Lamezi breathing method can effectively reduce the pain degree, shorten the labor time, reduce the amount of intrapartum hemorrhage, and improve the yield. It is worthy of clinical promotion.
Objective To explore the analgesia effects of Lamezi′s breathing method in natural parturient women. Methods From January 2016 to January 2017, 83 cases of natural delivery women who received routine nursing in our hospital were selected as the control group. The patients who took the hospital from February 2017 to February 2018 were treated with the Lamezi breathing method. 83 cases of natural delivery were used as observation group. The analgesic effect, labor, blood loss and mode of delivery were compared between the two groups. Results The analgesic effect of the observation group was statistically significant(P<0.05). The first stage of labor and the second stage of labor in the observation group were shorter than the control group, the difference was statistically significant(P<0.05), the third stage of labor. There was no significant difference between the time and the control group(P>0.05). There was no significant difference between the observation group and the control group(P>0.05). The vaginal assist rate of the observation group was lower than that of the control group, and the yield was higher than that of the control group. In the control group, the difference was statistically significant(P<0.05). Conclusion Lamezi breathing method can effectively reduce the pain degree, shorten the labor time, reduce the amount of intrapartum hemorrhage, and improve the yield. It is worthy of clinical promotion.
引文
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[11] NEVES R C,LENO B M,BACH K D,et al.Epidemiology of subclinical hypocalcemia in early-lactation Holstein dairy cows:The temporal associations of plasma calcium concentration in the first 4 days in milk with disease and milk production[J].J Dairy Sci,2018,8(18):700-708.
[12] 叶秀珍,王芬兰,曾海霞.无创分娩减痛效果的影响因素分析及护理对策[J].齐鲁护理杂志,2018,24(8):56-58.
[13] 杨小燕.产程中应用水中分娩及舒适护理模式对产时镇痛效果、产程、及其分娩质量的影响探讨[J].实用临床护理学电子杂志,2018,3(10):118,127.
[14] 黄晓玲,谭惠兴,许雪洁,等.分娩监护镇痛仪联合催眠分娩技术对分娩结局的影响[J].齐鲁护理杂志,2018,24(6):105-107.
[15] SZUMILEWICZ A. Who and how should prescribe and conduct exercise programs for pregnant women? Recommendation based on the European educational standards for pregnancy and postnatal exercise specialists[J].Dev Period Med,2018,22(2):107-112.
[16] 谭冰,陈枫.护理干预对子宫球囊引产初产妇分娩结局和心理状态的影响[J].全科护理,2018,16(7):806-808.
[17] 廖文梅,方海琴.拉玛泽呼吸法对初产妇分娩疼痛和妊娠结局的影响[J].循证护理,2017,3(5):516-517.
[2] 陈明芳,赖少芳,林少英.产前门诊护理对高危孕产妇心理状态及分娩结局的影响[J].中国临床护理,2018,10(2):144-146,150.
[3] TRAN N T, YAMEOGO W M M, LANGWANA F,et al. Birth spacing and informed family planning choices after childbirth in Burkina Faso and the Democratic Republic of Congo:Participatory action research to design and evaluate a decision-making tool for providers and their clients[J].Patient Educ Couns,2018,2(18):201-205.
[4] 叶彩容,吴贤珊,何凤梅.助产士主导模拟分娩教育及自我效能增强干预在初产妇中的应用[J].护理实践与研究,2018,15(3):78-80.
[5] 王敬.拉玛泽呼吸法结合自由体位对产妇分娩结局的影响[J].实用临床护理学电子杂志,2018,3(11):81-86.
[6] 程晓芳,安丰玲.高龄产妇不良妊娠和分娩结局及影响因素的研究现状[J].中国实用护理杂志,2018,34(13):1036-1040.
[7] MGONGO M,HUSSEIN T H,STRAY-PEDERSEN B,et al. We give water or porridge, but we don′t really know what the child wants: a qualitative study on women′s perceptions and practises regarding exclusive breastfeeding in Kilimanjaro region, Tanzania[J].BMC Pregnancy Childbirth,2018,18(1):323.
[8] 王起兰,林姝,程卫平,等.引导硬膜外分娩镇痛产妇卧位调节对胎儿枕后位影响的研究[J].中国实用护理杂志,2018,34(11):809-813.
[9] 李小敏.全程护理小组对高危妊娠初产妇妊娠结局与分娩后并发症的影响[J].护理实践与研究,2018,15(7):87-89.
[10] 董丽媛,王婧铭.六西格玛管理法在分娩室护理管理中的应用[J].护理研究,2018,32(8):1322-1323.
[11] NEVES R C,LENO B M,BACH K D,et al.Epidemiology of subclinical hypocalcemia in early-lactation Holstein dairy cows:The temporal associations of plasma calcium concentration in the first 4 days in milk with disease and milk production[J].J Dairy Sci,2018,8(18):700-708.
[12] 叶秀珍,王芬兰,曾海霞.无创分娩减痛效果的影响因素分析及护理对策[J].齐鲁护理杂志,2018,24(8):56-58.
[13] 杨小燕.产程中应用水中分娩及舒适护理模式对产时镇痛效果、产程、及其分娩质量的影响探讨[J].实用临床护理学电子杂志,2018,3(10):118,127.
[14] 黄晓玲,谭惠兴,许雪洁,等.分娩监护镇痛仪联合催眠分娩技术对分娩结局的影响[J].齐鲁护理杂志,2018,24(6):105-107.
[15] SZUMILEWICZ A. Who and how should prescribe and conduct exercise programs for pregnant women? Recommendation based on the European educational standards for pregnancy and postnatal exercise specialists[J].Dev Period Med,2018,22(2):107-112.
[16] 谭冰,陈枫.护理干预对子宫球囊引产初产妇分娩结局和心理状态的影响[J].全科护理,2018,16(7):806-808.
[17] 廖文梅,方海琴.拉玛泽呼吸法对初产妇分娩疼痛和妊娠结局的影响[J].循证护理,2017,3(5):516-517.