中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
2期
249-251
,共3页
拉玛泽分娩减痛呼吸法%自然分娩%产程%分娩疼痛%新生儿窒息
拉瑪澤分娩減痛呼吸法%自然分娩%產程%分娩疼痛%新生兒窒息
랍마택분면감통호흡법%자연분면%산정%분면동통%신생인질식
Lamaza pain-relieving childbirth breathing%natural childbirth%labor%childbirth pain%neonatal asphyxia
目的：探讨拉玛泽分娩减痛呼吸法对母儿的影响。方法将孕7个月后自愿接受拉玛泽分娩减痛呼吸法的孕妇57例设为观察组，同期未接受拉玛泽分娩减痛呼吸法的60例孕妇为对照组，比较两组产妇分娩方式、经阴道分娩产程时间、分娩时疼痛程度及新生儿窒息发生率等。结果观察组自然分娩率为92．98％，高于对照组的68．33％（χ2＝11．24，P＜0．01），剖宫产率为7．02％，低于对照组的30．00％（χ2＝10．11，P＜0．01）；第一产程、第二产程及总产程时间少于对照组（ t＝8．94，8．16，9．96， P＜0．05）；第一产程活跃期及第二产程疼痛程度轻于对照组（z＝3．02，4．57，P＜0．05）；新生儿窒息发生率为1．75％，低于对照组的8．33％（χ2＝5．70，P＜0．05）。结论孕后期进行拉玛泽分娩减痛呼吸法训练，可有效提高自然分娩率，降低剖宫产率，缩短产程，减轻分娩疼痛，降低新生儿窒息发生率，适合临床推广应用。
目的：探討拉瑪澤分娩減痛呼吸法對母兒的影響。方法將孕7箇月後自願接受拉瑪澤分娩減痛呼吸法的孕婦57例設為觀察組，同期未接受拉瑪澤分娩減痛呼吸法的60例孕婦為對照組，比較兩組產婦分娩方式、經陰道分娩產程時間、分娩時疼痛程度及新生兒窒息髮生率等。結果觀察組自然分娩率為92．98％，高于對照組的68．33％（χ2＝11．24，P＜0．01），剖宮產率為7．02％，低于對照組的30．00％（χ2＝10．11，P＜0．01）；第一產程、第二產程及總產程時間少于對照組（ t＝8．94，8．16，9．96， P＜0．05）；第一產程活躍期及第二產程疼痛程度輕于對照組（z＝3．02，4．57，P＜0．05）；新生兒窒息髮生率為1．75％，低于對照組的8．33％（χ2＝5．70，P＜0．05）。結論孕後期進行拉瑪澤分娩減痛呼吸法訓練，可有效提高自然分娩率，降低剖宮產率，縮短產程，減輕分娩疼痛，降低新生兒窒息髮生率，適閤臨床推廣應用。
목적：탐토랍마택분면감통호흡법대모인적영향。방법장잉7개월후자원접수랍마택분면감통호흡법적잉부57례설위관찰조，동기미접수랍마택분면감통호흡법적60례잉부위대조조，비교량조산부분면방식、경음도분면산정시간、분면시동통정도급신생인질식발생솔등。결과관찰조자연분면솔위92．98％，고우대조조적68．33％（χ2＝11．24，P＜0．01），부궁산솔위7．02％，저우대조조적30．00％（χ2＝10．11，P＜0．01）；제일산정、제이산정급총산정시간소우대조조（ t＝8．94，8．16，9．96， P＜0．05）；제일산정활약기급제이산정동통정도경우대조조（z＝3．02，4．57，P＜0．05）；신생인질식발생솔위1．75％，저우대조조적8．33％（χ2＝5．70，P＜0．05）。결론잉후기진행랍마택분면감통호흡법훈련，가유효제고자연분면솔，강저부궁산솔，축단산정，감경분면동통，강저신생인질식발생솔，괄합림상추엄응용。
Objective To study the influence of Lamaza pain-relieving childbirth breathing on mother and infant .Methods Totally 57 pregnant women willingly accepting Lamaza pain-relieving childbirth breathing after 7 gestational weeks were set as observation group , and 60 pregnant women not accepting it at the same period were included in control group .The delivery mode , labor of vaginal delivery , pain degree at childbirth and incidence of neonatal asphyxia were compared between two groups .Results In the observation group the natural birth rate was 92.98%, which was higher than that of the control group (68.33%) (χ2 =11.24,P<0.01), while the cesarean rate was 7.02%, which was lower than 30.00%in the control group (χ2 =10.11,P<0.01).The first, second labor and total labor time in the observation group were significantly less than the control group (t value was 8.94, 8.16 and 9.96, respectively, all P<0.05).The first active phase of labor and pain degree at second labor were significantly milder than the control group ( z value was 3.02 and 4.57, respectively, both P <0.05).The incidence of neonatal asphyxia was 1.75%, and it was significantly lower than the control group (8.33%) (χ2 =5.70,P <0.05).Conclusion Lamaza pain-relieving childbirth breathing training at late pregnancy can effectively improve natural birth rate , reduce cesarean section rate , shorten labor , reduce labor pain and reduce the incidence of neonatal asphyxia , so it is suitable for clinical application .
