CAJ | 학술논문

目的探讨适度产程干预对产妇产程及阴道分娩的影响.方法 2011年1月至2011年12月在本院行阴道分娩的96例产妇随机分成2组:常规组48例,采用常规临产护理;干预组48例;在常规临床护理基础上,再给予人工破膜、纠正异常产轴、徒手扩张宫颈等适度产程干预.观察和比较两组产妇的产程时间、会阴损伤程度、产后出血、产后尿潴留、新生儿窒息等情况.结果干预组产妇的第一产程、第二产程、总产程时间均显著性短于对照组(P＜0.05);干预组产妇阴道分娩后的会阴损伤程度显著性轻于常规组(P＜0.05);干预组产妇的产后阴道出血率、产后尿潴留发生率、新生儿窒息率均显著性小于常规组(P＜0.05).结论适度产程干预能够促进产程进展,提高阴道分娩质量.
목적 탐토괄도산정간예대산부산정급음도분면적영향.방법 2011년1월지2011년12월재본원행음도분면적96례산부수궤분성2조:상규조48례,채용상규임산호리;간예조48례;재상규림상호리기출상,재급여인공파막、규정이상산축、도수확장궁경등괄도산정간예.관찰화비교량조산부적산정시간、회음손상정도、산후출혈、산후뇨저류、신생인질식등정황.결과 간예조산부적제일산정、제이산정、총산정시간균현저성단우대조조(P＜0.05);간예조산부음도분면후적회음손상정도현저성경우상규조(P＜0.05);간예조산부적산후음도출혈솔、산후뇨저류발생솔、신생인질식솔균현저성소우상규조(P＜0.05).결론 괄도산정간예능구촉진산정진전,제고음도분면질량.
Objective To investigate the influence of moderate birth process intervention for the vaginal delivery and maternal birth process.Methods The 96 cases of vaginal delivery patients who were admitted to hospital from January 2011 to December 2011 were randomly divided into two groups,conventional group ( n =48 ) and intervention group ( n =48 ).The conventional group was given usual care,and the intervention group was also given moderate birth process intervention.The time of birth process,the degree of perineum injury,the incidence rates of vaginal bleeding,urinary retention,and neonatal asphyxia in two groups were observed and compared.Results The time of first birth process,second birth process,and the total birth process in the intervention group were significantly shorter than those in the conventional group ( P ＜ 0.05 ) ; the degree of perineum injury after vaginal delivery in the intervention group was significantly lesser than that in the conventional group (P ＜ 0.05 ) ; the incidence rates of vaginal bleeding,urinary retention,and neonatal asphyxia after vaginal delivery in the intervention group was significantly less than those in the conventional group ( P ＜ 0.05 ).Conclusions The moderate birth process intervention can shorten the time of birth process and improve the quality of vaginal delivery.