自由体位助产联合间苯三酚对产程及分娩结局的临床研究
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摘要
目的探讨自由体位助产联合间苯三酚在产妇产程中的应用。方法 2015年1月—2016年1月选取本院收治的280例初产妇为研究对象,根据随机数字表将患者分为观察组及对照组各140例,对照组采用传统的方式进行分娩,观察组在产程活跃期应用自由体位助产结合间苯三酚实施分娩,对比分析两组产妇产程及母婴相关并发症。结果观察组在三个产程及总产程时间显著短于对照组(P <0.05)。观察组产妇产后出血率及剖宫产率低于对照组(P <0.05)。结论初产妇在产程活跃期应用自由体位助产联合间苯三酚能有效缩短产妇总产程,改善母婴妊娠结局,有利于母婴预后。
Objective To observe the effects of free position midwifery method with phloroglucinol during labor stage. Methods From January 2015 to January 2016, 280 primipara admitted to our hospital were selected as the research objects. According to the random number table, the patients were divided into observation group and control group, 140 cases in each group. The control group was given the traditional way of delivery, while the observation group was given free position midwifery combined with phloroglucinol to carry out analysis during the active stage of labor. Comparisons were made between the two groups in terms of maternal and neonatal complications. Results The duration of three stages of labor and total stage of labor in the observation group was significantly shorter than that in the control group(P < 0.05). The rate of postpartum hemorrhage and cesarean section in the observation group was lower than that in the control group(P < 0.05). Conclusion Free position midwifery combined with phloroglucinol can effectively shorten the total stage of labor, improve the outcome of maternal and infant pregnancy, and is conducive to the prognosis of mothers and infants.
Objective To observe the effects of free position midwifery method with phloroglucinol during labor stage. Methods From January 2015 to January 2016, 280 primipara admitted to our hospital were selected as the research objects. According to the random number table, the patients were divided into observation group and control group, 140 cases in each group. The control group was given the traditional way of delivery, while the observation group was given free position midwifery combined with phloroglucinol to carry out analysis during the active stage of labor. Comparisons were made between the two groups in terms of maternal and neonatal complications. Results The duration of three stages of labor and total stage of labor in the observation group was significantly shorter than that in the control group(P < 0.05). The rate of postpartum hemorrhage and cesarean section in the observation group was lower than that in the control group(P < 0.05). Conclusion Free position midwifery combined with phloroglucinol can effectively shorten the total stage of labor, improve the outcome of maternal and infant pregnancy, and is conducive to the prognosis of mothers and infants.
引文
[1]王瑞华,顾成敏,魏东红.间苯三酚应用于产程不同时期效果分析[J].河北医药,2012,34(6):853-854.
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[12]江紫妍,黄美凌,夏华安,等.自由体位分娩在临床中的应用进展[J].中国实用护理杂志,2016,32(22):1756-1760.
[13]厉跃红,吴娜,庄薇.分娩球配合自由体位助产对初产妇产痛、分娩控制感及妊娠结局的影响[J].中华护理杂志,2013,48(9):793-796.
[14]王建英,闫首珍.间苯三酚静脉注射联合硫酸镁宫颈湿敷在产程活跃期的应用[J].现代妇产科进展,2013,22(9):751-752,755.
[15]徐高侠,周娟,魏霞霞.间苯三酚注射液对产程活跃期宫颈水肿产妇的临床效果分析[J].广西医科大学学报,2016,33(5):873-875.
[16]丁付绿,张盛燕,金丽桂,等.同侧俯卧位联合间苯三酚在产程活跃期中纠正枕后位的临床价值[J].中国妇幼保健,2013,28(30):5062-5064.
[17]黄华.自由体位分娩在产程中的综合效果分析[J].中国实用医药,2014,9(7):128.
[2]王玉英.间苯三酚注射液对于促进产程进展作用的研究[J].中国妇幼保健,2012,27(17):2700-2701.
[3]周金枝.注射用间苯三酚联合缩宫素在产妇产程中的作用[J].实用临床医学,2012,13(10):83-84.
[4]王瑞华,顾成敏,魏东红.间苯三酚应用于产程不同时期的效果分析[J].中国妇幼保健,2012,27(33):5294-5296.
[5]齐育英.活跃期应用间苯三酚并配合自由体位分娩的临床应用效果[J].生殖医学杂志,2016,25(5):462-465.
[6]Nieuwenhuijze MJ,Low LK,Korstjens I,et al.The role of maternity care providers in promoting shared decision making regarding birthing positions during the second stage of labor[J].JMidwifery Womens Health,2014,59(3):277-285.
[7]孙妍.间苯三酚在产程活跃期疗效的观察[J].吉林医学,2013,34(15):2920-2921.
[8]刘东.间苯三酚用于产程活跃期宫颈水肿30例疗效评价[J].中国药业,2015,24(20):46-47.
[9]Benatar S,Garrett AB,Howell E,et al.Midwifery care at a freestanding birth center:A safe and effective alternative to conventional maternity care[J].Health services research,2013,48(5):1750-1768.
[10]王灿辉,鞠丽红.自由体位分娩加分娩减痛法在初产顺产妇中的综合应用效果观察[J].海南医学,2013,24(15):2230-2232.
[11]覃秀珠,沈岩金.自由体位对分娩影响的临床观察[J].中国妇幼保健,2014,29(12):1842-1844.
[12]江紫妍,黄美凌,夏华安,等.自由体位分娩在临床中的应用进展[J].中国实用护理杂志,2016,32(22):1756-1760.
[13]厉跃红,吴娜,庄薇.分娩球配合自由体位助产对初产妇产痛、分娩控制感及妊娠结局的影响[J].中华护理杂志,2013,48(9):793-796.
[14]王建英,闫首珍.间苯三酚静脉注射联合硫酸镁宫颈湿敷在产程活跃期的应用[J].现代妇产科进展,2013,22(9):751-752,755.
[15]徐高侠,周娟,魏霞霞.间苯三酚注射液对产程活跃期宫颈水肿产妇的临床效果分析[J].广西医科大学学报,2016,33(5):873-875.
[16]丁付绿,张盛燕,金丽桂,等.同侧俯卧位联合间苯三酚在产程活跃期中纠正枕后位的临床价值[J].中国妇幼保健,2013,28(30):5062-5064.
[17]黄华.自由体位分娩在产程中的综合效果分析[J].中国实用医药,2014,9(7):128.