CAJ | 학술논문

目的分析豆袋热敷应用于分娩镇痛的临床疗效.方法选择产房阴道试产的足月妊娠产妇120例,随机分为观察组和对照组各60例.观察组在分娩过程中用豆袋热敷；对照组在分娩过程中无任何镇痛处理,比较观察组产妇豆袋热敷前后的疼痛评分和两组产妇第一产程、第二产程的时间.结果观察组产妇豆袋热敷后疼痛评分低于热敷前,差异具有统计学意义(x2 =8.472,P＜0.05).观察组的第一产程、第二产程分别为(8.35±0.63)h、(0.97 ±0.16)h,明显短于对照组的(11.26 ±0.7)h、(1.26 ±0.17)h,差异均有统计学意义(t分别为-12.958,-40.116;P ＜0.05).观察组顺产率为95％,高于对照组的81.6％,差异具有统计学意义(x2 =6.24,P＜0.05).结论豆袋热敷能明显减轻分娩疼痛,并缩短产妇第一产程和第二产程,降低阴道助产及剖宫产率.
목적 분석두대열부응용우분면진통적림상료효.방법 선택산방음도시산적족월임신산부120례,수궤분위관찰조화대조조각60례.관찰조재분면과정중용두대열부；대조조재분면과정중무임하진통처리,비교관찰조산부두대열부전후적동통평분화량조산부제일산정、제이산정적시간.결과 관찰조산부두대열부후동통평분저우열부전,차이구유통계학의의(x2 =8.472,P＜0.05).관찰조적제일산정、제이산정분별위(8.35±0.63)h、(0.97 ±0.16)h,명현단우대조조적(11.26 ±0.7)h、(1.26 ±0.17)h,차이균유통계학의의(t분별위-12.958,-40.116;P ＜0.05).관찰조순산솔위95％,고우대조조적81.6％,차이구유통계학의의(x2 =6.24,P＜0.05).결론 두대열부능명현감경분면동통,병축단산부제일산정화제이산정,강저음도조산급부궁산솔.
Objective To analyze the labor analgesic effects of beans-hot packing.Methods 120 vaginal delivery women accepted by our delivery room from May to September 2010 were randomly divided into 2 groups (observed and control team),60 each.The observed team used beans-hot packs to release pain,while the control team volunteered no analgesic measurements.The pain scores and duration of the first and second stage of laboring for both teams were compared to see the analgesic effect of beans-hot packing.Results Pain score of observed team after using beans-hot packing was lower than that before using beans-hot packing(x2 =8.472,P ＜ 0.05).The first stage score(8.35 ±0.63)h,and second stage score(0.97 ±0.16)h in observed team were lower than those in control team[(11.26 ± 0.7)h in first stage and(1.26 ± 0.17)h in second stage],and the difference was significant(t =-12.958,-40.116; P ＜ 0.01).Natural delivery rate in observed team was 95％ and higher than 81.6％ of control group(x2 =6.24,P ＜ 0.05).Conclusions Beans-hot packing had positive laboring analgesic effects and could shorten the duration of the first and second labor stage.