催眠镇痛法在产妇分娩过程的应用及研究
|
摘要
目的探讨分娩时开展催眠镇痛法的效果及意义。方法选取2018年3～12月在我院产科住院并分娩的产妇43例设为观察组,随机抽取43例自然分娩产妇设为对照组,观察组产妇在分娩时行催眠镇痛法,对照组产妇分娩时不开展其他干预措施。对两组产妇不同产程疼痛情况及产程时间、产后出血量、分娩方式、新生儿并发症进行统计分析。结果观察组产妇不同产程疼痛分级均显著低于对照组,产程时间及产后出血量,新生窒息均少于对照组,组间数据差异有统计学意义(P <0.05);观察组产妇自然分娩率相较于对照组更高,剖宫产率相较于对照组更低,观察组新生儿并发症显著低于对照组,组间数据差异有统计学意义(P <0.05)。结论产妇分娩过程中实施催眠镇痛法能够有效缓解其分娩疼痛,缩短产程时间同时降低产妇剖宫产率,可有效保证母婴健康,因此该种镇痛方法值得在临床中进行推广。
Objective To explore the effect and significance of hypnotic analgesia method in maternal delivery.Methods 43 parturient women who were hospitalized and delivered in department of obstetrics in our hospital from March to December 2018 were selected as the observation group. 43 parturient women who underwent spontaneous delivery were randomly selected as the control group. Parturient women in the observation group were given hypnotic analgesia during delivery while parturient women in the control group were not given any other intervention measures. The pain of different stages of labor, duration of labor, the amount of postpartum bleeding, the delivery mode and the complications of newborns in two groups were calculated and analyzed statistically. Results The pain levels of different stages of labor in the observation group were all significantly lower than those in the control group. The duration of labor, the amount of postpartum hemorrhage and newborn asphyxia in the observation group were all less than those in the control group. There were significant differences between the two groups, and the differences were statistically significant(P < 0.05). The natural delivery rate of the observation group was higher than that of the control group and the cesarean section rate was lower than that of the control group. Neonatal complications in the observation group were significantly lower than those in the control group. There were significant differences between the two groups, and the differences were statistically significant(P< 0.05). Conclusion Application of hypnotic analgesia in maternal delivery can effectively relieve the labor pain, shorten the time of labor and reduce the rate of cesarean section, which can effectively guarantee the health of mother and children.Therefore, this analgesia method is worthy of promotion in clinical practice.
Objective To explore the effect and significance of hypnotic analgesia method in maternal delivery.Methods 43 parturient women who were hospitalized and delivered in department of obstetrics in our hospital from March to December 2018 were selected as the observation group. 43 parturient women who underwent spontaneous delivery were randomly selected as the control group. Parturient women in the observation group were given hypnotic analgesia during delivery while parturient women in the control group were not given any other intervention measures. The pain of different stages of labor, duration of labor, the amount of postpartum bleeding, the delivery mode and the complications of newborns in two groups were calculated and analyzed statistically. Results The pain levels of different stages of labor in the observation group were all significantly lower than those in the control group. The duration of labor, the amount of postpartum hemorrhage and newborn asphyxia in the observation group were all less than those in the control group. There were significant differences between the two groups, and the differences were statistically significant(P < 0.05). The natural delivery rate of the observation group was higher than that of the control group and the cesarean section rate was lower than that of the control group. Neonatal complications in the observation group were significantly lower than those in the control group. There were significant differences between the two groups, and the differences were statistically significant(P< 0.05). Conclusion Application of hypnotic analgesia in maternal delivery can effectively relieve the labor pain, shorten the time of labor and reduce the rate of cesarean section, which can effectively guarantee the health of mother and children.Therefore, this analgesia method is worthy of promotion in clinical practice.
引文
[1]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.
[2]庞欣杰,石雪青,林建国.分娩镇痛产妇中椎管内注药镇痛法的临床应用研究[J].中国医药科学,2016,6(19):149-151.
[3]田小禾.联用气囊助产法、镇痛分娩法及全程陪护分娩法对产妇进行护理的效果研究[J].当代医药论丛,2016,14(11):8-9.
[4]张秀华,彭勇,祝艳,等.催眠无痛暗示法在产妇无痛分娩中对分娩进程及母儿的影响[J].护理管理杂志,2017,17(7):496-497.
[5]邵冬梅.基于产程的催眠无痛暗示在初产妇分娩镇痛中的应用[J].中西医结合护理:中英文,2018,4(6):98-100.
[6]陈培杰.音乐与催眠治疗在分娩镇痛中的应用研究[J].中国社区医师,2017,33(22):155-156.
[7]丁玲玲,陈慧,郭莉,等.催眠技术在低危产妇分娩中的镇痛效果[J].国际医药卫生导报,2018,24(3):317-319.
[8]陈兰芳,何玉欢.导乐仪在产妇分娩镇痛中对提高分娩质量的临床价值研究[J].齐齐哈尔医学院学报,2017,38(7):861-862.
[9]张丽敦.浅论导乐分娩镇痛仪在对自然分娩产妇进行镇痛中的应用价值[J].当代医药论丛,2016,14(12):151-152.
[10]蓝丽霞,平永美,李中华.右美托咪定联合罗哌卡因硬膜外自控镇痛在足月妊娠产妇分娩中的临床研究[J].中国现代医生,2017,55(26):112-115.
[11]文哲,黎秋妹,谢柳茹.水疗配合催眠镇痛对产程及分娩结果的作用研究[J].青岛医药卫生,2018,50(2):148-151.
[12]黄妙然,黄妙霞,朱凤娟.催眠镇痛在产程中的应用及护理[J].实用医技杂志,2017,24(2):231-232.
[13]陈燕,张宏玉.音乐疗法用于分娩镇痛的研究进展[J].实用临床护理学电子杂志,2017,2(23):182-183,194.
[14]宗银东,聂颖,姜义铁,等.罗哌卡因硬膜外患者自控镇痛的无痛分娩效果及应激反应的临床研究[J].重庆医学,2016,45(17):2407-2409.
[15]刘溅妹,何庆凤,郑慧军,等.香薰联合催眠术在经产妇妊娠期糖尿病分娩期中的应用[J].护理实践与研究,2018,15(14):85-87.
[2]庞欣杰,石雪青,林建国.分娩镇痛产妇中椎管内注药镇痛法的临床应用研究[J].中国医药科学,2016,6(19):149-151.
[3]田小禾.联用气囊助产法、镇痛分娩法及全程陪护分娩法对产妇进行护理的效果研究[J].当代医药论丛,2016,14(11):8-9.
[4]张秀华,彭勇,祝艳,等.催眠无痛暗示法在产妇无痛分娩中对分娩进程及母儿的影响[J].护理管理杂志,2017,17(7):496-497.
[5]邵冬梅.基于产程的催眠无痛暗示在初产妇分娩镇痛中的应用[J].中西医结合护理:中英文,2018,4(6):98-100.
[6]陈培杰.音乐与催眠治疗在分娩镇痛中的应用研究[J].中国社区医师,2017,33(22):155-156.
[7]丁玲玲,陈慧,郭莉,等.催眠技术在低危产妇分娩中的镇痛效果[J].国际医药卫生导报,2018,24(3):317-319.
[8]陈兰芳,何玉欢.导乐仪在产妇分娩镇痛中对提高分娩质量的临床价值研究[J].齐齐哈尔医学院学报,2017,38(7):861-862.
[9]张丽敦.浅论导乐分娩镇痛仪在对自然分娩产妇进行镇痛中的应用价值[J].当代医药论丛,2016,14(12):151-152.
[10]蓝丽霞,平永美,李中华.右美托咪定联合罗哌卡因硬膜外自控镇痛在足月妊娠产妇分娩中的临床研究[J].中国现代医生,2017,55(26):112-115.
[11]文哲,黎秋妹,谢柳茹.水疗配合催眠镇痛对产程及分娩结果的作用研究[J].青岛医药卫生,2018,50(2):148-151.
[12]黄妙然,黄妙霞,朱凤娟.催眠镇痛在产程中的应用及护理[J].实用医技杂志,2017,24(2):231-232.
[13]陈燕,张宏玉.音乐疗法用于分娩镇痛的研究进展[J].实用临床护理学电子杂志,2017,2(23):182-183,194.
[14]宗银东,聂颖,姜义铁,等.罗哌卡因硬膜外患者自控镇痛的无痛分娩效果及应激反应的临床研究[J].重庆医学,2016,45(17):2407-2409.
[15]刘溅妹,何庆凤,郑慧军,等.香薰联合催眠术在经产妇妊娠期糖尿病分娩期中的应用[J].护理实践与研究,2018,15(14):85-87.