芳香疗法在初产妇产程中的应用
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摘要
目的探讨芳香疗法在初产妇产程中的应用。方法选取2016年4~6月川北医学院附属医院产科分娩的初产妇100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例。对照组按常规产程待产并观察护理,观察组在常规护理基础上给予芳香精油吸入及穴位按摩至分娩。观察两组产妇焦虑和疼痛程度、产程中安定使用情况、自然分娩率、新生儿Apgar评分、产程时间、产后2 h出血量。结果观察组产程中焦虑、疼痛程度明显轻于对照组(P<0.05),安定使用率明显低于对照组(P<0.05),自然分娩率、新生儿Apgar评分明显高于对照组(P<0.05)。观察组活跃期、第二产程、第三产程时间均明显短于对照组(P<0.05),产后2 h出血量明显少于对照组(P<0.05)。结论芳香疗法应用于初产妇产程中可减轻产妇焦虑、疼痛,减少产程中镇静药物的使用,提高自然分娩率,降低剖宫产率,降低新生儿窒息率,缩短产程,值得临床推广应用。
Objective To explore the application of aromatherapy in the labor of primipara. Methods 100 primipara treated in Affiliated Hospital of North Sichuan Medical College from April to June 2016 were selected as study objects.They were divided into control group and observation group according to the random number table method. Each group had 50 cases. The routine labor nursing and observation was used in control group, aromatherapy and inhalation of essential oils were applied in observation group on the basis of conventional care. Maternal anxiety and pain, the use of diazepam during labor, natural delivery rate, neonatal Apgar score, labor time, postpartum hemorrhage with 2 h between two groups were observed. Results The anxiety and pain in observation group were significantly lighter than those in control group(P < 0.05). The utilization rate of diazepam in observation group was significantly lower than that in control group(P < 0.05). Natural delivery rate and neonatal Apgar score in observation group were significantly higher than those in control group(P < 0.05). Active phase time, the second labor time, the third labor time in observation group were significantly shorter than those in control group(P < 0.05). Postpartum hemorrhage with 2 h in observation group was significantly less than that in control group(P < 0.05). Conclusion Aromatherapy applied in the labor of primipara can reduce maternal anxiety and pain, reduce the use of sedative drugs in labor, improve the rate of spontaneous delivery, reduce the rate of cesarean section, reduce the rate of neonatal asphyxia and shorten the duration of labor, which is worthy of clinical promotion and application.
Objective To explore the application of aromatherapy in the labor of primipara. Methods 100 primipara treated in Affiliated Hospital of North Sichuan Medical College from April to June 2016 were selected as study objects.They were divided into control group and observation group according to the random number table method. Each group had 50 cases. The routine labor nursing and observation was used in control group, aromatherapy and inhalation of essential oils were applied in observation group on the basis of conventional care. Maternal anxiety and pain, the use of diazepam during labor, natural delivery rate, neonatal Apgar score, labor time, postpartum hemorrhage with 2 h between two groups were observed. Results The anxiety and pain in observation group were significantly lighter than those in control group(P < 0.05). The utilization rate of diazepam in observation group was significantly lower than that in control group(P < 0.05). Natural delivery rate and neonatal Apgar score in observation group were significantly higher than those in control group(P < 0.05). Active phase time, the second labor time, the third labor time in observation group were significantly shorter than those in control group(P < 0.05). Postpartum hemorrhage with 2 h in observation group was significantly less than that in control group(P < 0.05). Conclusion Aromatherapy applied in the labor of primipara can reduce maternal anxiety and pain, reduce the use of sedative drugs in labor, improve the rate of spontaneous delivery, reduce the rate of cesarean section, reduce the rate of neonatal asphyxia and shorten the duration of labor, which is worthy of clinical promotion and application.
引文
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[16]林海程,谭文艳.不同籍贯孕产妇生育观念及其焦虑和抑郁情绪的影响因素分析[J].中国全科医学,2013,16(5):539-542.
[17]贺晓敏,骆灵.中医穴位按摩配合产时综合护理干预对初产妇分娩质量的影响[J].西部中医药,2015,28(7):132-136.
[18]贺腾,张时鸿.非药物分娩镇痛的研究进展[J/CD].中华妇幼临床医学杂志:电子版,2016,12(2):232-236.
[19]方静.非药物镇痛在自然分娩产妇中的应用[J].中国民康医学,2016,28(13):52-54.
[20]郭路,冯玉华.中医指压穴位在产程中的应用[J].中华护理杂志,2016,51(4):438-442.
[21]Mousley S.Audit of an aromatherapy service in a maternityunit[J].Complement Ther Clin Pract,2005,11(3):205-210.
[22]Burns EE,Blamey C,Ersser SJ,et al.An investigation into the use of aromatherapy in intrapartum midwifery practice[J].J Altern Complement Med,2000,6(2):141-147.
[23]谢绘玲.综合产时护理干预对产妇产程及护理满意度的影响[J].实用临床医药杂志,2013,17(12):115-117.
[24]王丽君.导乐分娩配合中医穴位按摩对初产妇产痛及新生儿的影响[J].现代中西医结合杂志,2016,25(29):3261-3263.
[25]高忆,伍云娟.穴位按摩镇痛法对第一产程活跃期宫缩压的影响[J].河南中医学院学报,2009,24(4):57-58.
[26]雷玉妃,黄志锋.香薰疗法配合穴位按摩在阴道分娩中的应用研究[J].中国医学创新,2014,11(33):82-84.
[2]薇薇安·纳狄亚·蓝尼.孕妈咪芳疗全书[M].叶明娟,译.台北:世茂出版社,1994:91.
[3]李新鹏.认知疗法对不同文化程度慢性阻塞性肺病患者戒烟效果的影响[J].临床合理用药,2014,7(6):17-18.
[4]唐佳萍.分娩球配合导乐陪伴、中医穴位按摩用于产时镇痛的临床观察[J].白求恩医学杂志,2016,14(3):374-376.
[5]邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].4版.北京:人民卫生出版社,2011:222-225.
[6]曾俊明,洪雪鳳.中藥草芳香療法之可行性研究[J].美容科技刊,2016,13(1):5-26.
[7]张乃舒,王佩娟.芳香疗法辅助治疗产后抑郁症的设想研究[J].浙江中医药大学学报,2014,38(11):1346-1348.
[8]Nord D,Belew J.Effectiveness of the essential oils lavender and ginger in promoting children′s comfort in a period anesthesia setting[J].Perianesth Nur,2009,24(5):307-312.
[9]梁菊萍,杜青芳.香植物精油在抗焦虑治疗中的应用进展[J].中华全科医师杂志,2014,13(8):676-677.
[10]张红英.穴位按摩加芳香疗法对缓解青少年女性人工流产围术期心理障碍的作用[J].中国民间疗法,2016,24(2):36-37.
[11]关莉萍.芳香疗法联合催眠音乐疗法改善功能性消化不良焦虑性失眠的效果观察[J].护理实践与研究,2015,12(4):33-34.
[12]谢绘玲.综合产时护理干预对产妇产程及护理满意度的影响[J].实用临床医药杂志,2013,17(12):115-117.
[13]李野,唐玲.穴位按摩缓解产妇分娩疼痛随机对照试验的Meta分析[J].护理学报,2014,21(8):12-15.
[14]费娜,张敏.按摩穴位对减轻分娩疼痛的效果观察[J].齐鲁护理杂志,2003,9(5):326.
[15]韦秀芬.穴位分娩镇痛的临床研究现状[J].全科护理,2014,12(4):296-298.
[16]林海程,谭文艳.不同籍贯孕产妇生育观念及其焦虑和抑郁情绪的影响因素分析[J].中国全科医学,2013,16(5):539-542.
[17]贺晓敏,骆灵.中医穴位按摩配合产时综合护理干预对初产妇分娩质量的影响[J].西部中医药,2015,28(7):132-136.
[18]贺腾,张时鸿.非药物分娩镇痛的研究进展[J/CD].中华妇幼临床医学杂志:电子版,2016,12(2):232-236.
[19]方静.非药物镇痛在自然分娩产妇中的应用[J].中国民康医学,2016,28(13):52-54.
[20]郭路,冯玉华.中医指压穴位在产程中的应用[J].中华护理杂志,2016,51(4):438-442.
[21]Mousley S.Audit of an aromatherapy service in a maternityunit[J].Complement Ther Clin Pract,2005,11(3):205-210.
[22]Burns EE,Blamey C,Ersser SJ,et al.An investigation into the use of aromatherapy in intrapartum midwifery practice[J].J Altern Complement Med,2000,6(2):141-147.
[23]谢绘玲.综合产时护理干预对产妇产程及护理满意度的影响[J].实用临床医药杂志,2013,17(12):115-117.
[24]王丽君.导乐分娩配合中医穴位按摩对初产妇产痛及新生儿的影响[J].现代中西医结合杂志,2016,25(29):3261-3263.
[25]高忆,伍云娟.穴位按摩镇痛法对第一产程活跃期宫缩压的影响[J].河南中医学院学报,2009,24(4):57-58.
[26]雷玉妃,黄志锋.香薰疗法配合穴位按摩在阴道分娩中的应用研究[J].中国医学创新,2014,11(33):82-84.