分娩镇痛配合自由体位阴道分娩的临床效果观察
|
摘要
目的观察分娩镇痛配合自由体位阴道分娩的临床效果。方法将2017年10月～2018年9月在我院住院行阴道分娩的192例产妇纳入本研究,全部产妇采用随机数字表法随机分为两组,每组各96例,两组均采用分娩镇痛。对照组采取传统平卧位,观察组选择坐位、站位、卧位、蹲位、行走等自由体位,对比两组不同产程所用时间、产后出血量、新生儿窒息发生率。结果观察组产后出血量显著少于对照组(P<0.05);观察组的VAS评分显著低于对照组,差异具有显著性(P<0.05);观察组新生儿窒息发生率虽然低于对照组,但差异无显著性(P>0.05);观察组产妇第一产程、第二产程、第三产程及总产程时间显著短于对照组,差异具有显著性(P<0.05)。结论分娩镇痛配合自由体位阴道分娩可以缩短产程时间,缓解疼痛,减少产后出血量,提高分娩质量,值得临床推广和应用。
Objective To observe the clinical effect of labor analgesia combined with free position vaginal delivery.Methods 192 cases of vaginal delivery in our hospital from October 2017 to September 2018 were included in the study. They were randomly divided into two groups using a random number table method, with 96 cases in each group.Both groups were given labor analgesia, traditional supine position was adopted by the control group, and the observation group was introduced to free positions such as sitting, standing, lying, squatting, and walking. The time spent in different labor stages, the amount of postpartum hemorrhage, and the incidence of neonatal asphyxia were compared.Results The amount of postpartum hemorrhage in the observation group was significantly lower than that in the control group(P<0.05). The VAS score in the observation group was significantly lower than that in the control group(P<0.05).The incidence of neonatal asphyxia in the observation group was lower than that in the control group, but the difference was not significant(P>0.05). The time of the first stage of labor, the second stage of labor, the third stage of labor and the total stage of labor in the observation group were significantly shorter than those of the control group, and the difference was significant(P<0.05). Conclusion Labor analgesia combined with free position vaginal delivery can shorten the time of labor, relieve pain, reduce postpartum hemorrhage, improve the quality of delivery, and is worthy of clinical promotion and application.
Objective To observe the clinical effect of labor analgesia combined with free position vaginal delivery.Methods 192 cases of vaginal delivery in our hospital from October 2017 to September 2018 were included in the study. They were randomly divided into two groups using a random number table method, with 96 cases in each group.Both groups were given labor analgesia, traditional supine position was adopted by the control group, and the observation group was introduced to free positions such as sitting, standing, lying, squatting, and walking. The time spent in different labor stages, the amount of postpartum hemorrhage, and the incidence of neonatal asphyxia were compared.Results The amount of postpartum hemorrhage in the observation group was significantly lower than that in the control group(P<0.05). The VAS score in the observation group was significantly lower than that in the control group(P<0.05).The incidence of neonatal asphyxia in the observation group was lower than that in the control group, but the difference was not significant(P>0.05). The time of the first stage of labor, the second stage of labor, the third stage of labor and the total stage of labor in the observation group were significantly shorter than those of the control group, and the difference was significant(P<0.05). Conclusion Labor analgesia combined with free position vaginal delivery can shorten the time of labor, relieve pain, reduce postpartum hemorrhage, improve the quality of delivery, and is worthy of clinical promotion and application.
引文
[1]吕玉美.自由体位对足月胎膜早破孕妇分娩结局的影响[J].海南医学,2013,23(24):62-63.
[2]马丽,吴艳,侯燕.自由体位对阴道分娩的影响[J].医学临床研究,2016,33(3):569-570.
[3]杜新青.采用自由体位与传统卧位对分娩影响的临床观察[J].河北医药,2014,36(13):1956-1958.
[4]刘梦晓,罗庆平.自由体位分娩法和分娩减痛法在初产顺产妇分娩结局中的临床效果[J].河北医学,2016,22(3):436-438.
[5]曾彩贤,何倩佞.自由体位分娩对促进自然分娩的影响分析[J].齐齐哈尔医学院学报,2015,3(9):1372-1373.
[6]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.
[7]李红雨,常青,王丹.自由体位分娩对母婴围生期结局的影响[J].中华妇幼临床医学杂志(电子版),2015,11(5):640-641.
[8]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.
[9]张芳,王清梅,吴琴.初产妇应用分娩球与自由体位助产的效果分析[J].中外医学研究,2018,16(33):134-135.
[10]郭丹洁,俞可惠.分娩球配合自由体位助产对初产妇疼痛程度和分娩结局的影响探讨[J].实用医技杂志,2016,3:35.
[11]陈霞群,张卫社.自由体位对活跃期初产妇分娩结局的影响[J].中国现代医生,2014,(26):14-16,20.
[12]黄玲,周秀荣.自由体位配合分娩球在第一产程的应用研究[J].吉林医学,2012,33(29):6298-6299.
[13]徐夏英,符纯,陈星梅.自由体位分娩对初产妇分娩结局的影响[J].中国当代医药,2016,23(15):179-181.
[14]许晓琳.自由体位分娩对自然分娩率的影响[J].医疗装备,2017,30(5):157-158.
[15]刘霞.分娩球配合自由体位在阴道分娩中的应用效果观察[J].临床医药实践,2017,26(2):117-118.
[16]邓燕,俞丽丽.自由体位分娩在阴道分娩中的应用效果观察[J].中国性科学,2015,24(7):91-92.
[17]宋秀美.自由体位在初产妇阴道分娩中的应用效果[J].福建医药杂志,2018,40(2):157-158.
[2]马丽,吴艳,侯燕.自由体位对阴道分娩的影响[J].医学临床研究,2016,33(3):569-570.
[3]杜新青.采用自由体位与传统卧位对分娩影响的临床观察[J].河北医药,2014,36(13):1956-1958.
[4]刘梦晓,罗庆平.自由体位分娩法和分娩减痛法在初产顺产妇分娩结局中的临床效果[J].河北医学,2016,22(3):436-438.
[5]曾彩贤,何倩佞.自由体位分娩对促进自然分娩的影响分析[J].齐齐哈尔医学院学报,2015,3(9):1372-1373.
[6]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.
[7]李红雨,常青,王丹.自由体位分娩对母婴围生期结局的影响[J].中华妇幼临床医学杂志(电子版),2015,11(5):640-641.
[8]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.
[9]张芳,王清梅,吴琴.初产妇应用分娩球与自由体位助产的效果分析[J].中外医学研究,2018,16(33):134-135.
[10]郭丹洁,俞可惠.分娩球配合自由体位助产对初产妇疼痛程度和分娩结局的影响探讨[J].实用医技杂志,2016,3:35.
[11]陈霞群,张卫社.自由体位对活跃期初产妇分娩结局的影响[J].中国现代医生,2014,(26):14-16,20.
[12]黄玲,周秀荣.自由体位配合分娩球在第一产程的应用研究[J].吉林医学,2012,33(29):6298-6299.
[13]徐夏英,符纯,陈星梅.自由体位分娩对初产妇分娩结局的影响[J].中国当代医药,2016,23(15):179-181.
[14]许晓琳.自由体位分娩对自然分娩率的影响[J].医疗装备,2017,30(5):157-158.
[15]刘霞.分娩球配合自由体位在阴道分娩中的应用效果观察[J].临床医药实践,2017,26(2):117-118.
[16]邓燕,俞丽丽.自由体位分娩在阴道分娩中的应用效果观察[J].中国性科学,2015,24(7):91-92.
[17]宋秀美.自由体位在初产妇阴道分娩中的应用效果[J].福建医药杂志,2018,40(2):157-158.