中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
26期
14-16,20
,共4页
产程%体位管理%分娩结局%并发症
產程%體位管理%分娩結跼%併髮癥
산정%체위관리%분면결국%병발증
Labor%Postural management%Birth outcomes%Complications
目的：探讨实施自由体位对活>期初产妇分娩结局的影响。方法选取220例拟行经阴道分娩的初产妇，随机分为干预组和对照组各110例，对照组活>期采用常规平躺体位，干预组活>期采用自由体位管理，观察两组活>期胎先露下降速度，第一、第二、第三及总产程时间，最终采用的分娩方式，新生儿体重、新生儿Apgar评分、产后24 h出血量、产妇及新生儿并发症。结果干预组胎先露下降速度明显较对照组快(P<0.05)，第一、第二产程及总产程较对照组均明显缩短(P<0.05)。干预组阴道分娩率明显较对照组高(P<0.05)，阴道助产、剖宫产率明显较对照组低(P<0.05)，两组新生儿体重、新生儿Apgar评分比较，差异无统计学意义(P>0.05)，干预组产后24 h出血量明显较对照组少(P<0.05)。干预组产后出血、尿潴留、新生儿窒息率均明显较对照组低(P<0.05)。结论分娩活>期实施自由体位更有助于胎先露下降缩短产程，提高阴道分娩率，降低产妇及新生儿并发症发生率。
目的：探討實施自由體位對活>期初產婦分娩結跼的影響。方法選取220例擬行經陰道分娩的初產婦，隨機分為榦預組和對照組各110例，對照組活>期採用常規平躺體位，榦預組活>期採用自由體位管理，觀察兩組活>期胎先露下降速度，第一、第二、第三及總產程時間，最終採用的分娩方式，新生兒體重、新生兒Apgar評分、產後24 h齣血量、產婦及新生兒併髮癥。結果榦預組胎先露下降速度明顯較對照組快(P<0.05)，第一、第二產程及總產程較對照組均明顯縮短(P<0.05)。榦預組陰道分娩率明顯較對照組高(P<0.05)，陰道助產、剖宮產率明顯較對照組低(P<0.05)，兩組新生兒體重、新生兒Apgar評分比較，差異無統計學意義(P>0.05)，榦預組產後24 h齣血量明顯較對照組少(P<0.05)。榦預組產後齣血、尿潴留、新生兒窒息率均明顯較對照組低(P<0.05)。結論分娩活>期實施自由體位更有助于胎先露下降縮短產程，提高陰道分娩率，降低產婦及新生兒併髮癥髮生率。
목적：탐토실시자유체위대활>기초산부분면결국적영향。방법선취220례의행경음도분면적초산부，수궤분위간예조화대조조각110례，대조조활>기채용상규평당체위，간예조활>기채용자유체위관리，관찰량조활>기태선로하강속도，제일、제이、제삼급총산정시간，최종채용적분면방식，신생인체중、신생인Apgar평분、산후24 h출혈량、산부급신생인병발증。결과간예조태선로하강속도명현교대조조쾌(P<0.05)，제일、제이산정급총산정교대조조균명현축단(P<0.05)。간예조음도분면솔명현교대조조고(P<0.05)，음도조산、부궁산솔명현교대조조저(P<0.05)，량조신생인체중、신생인Apgar평분비교，차이무통계학의의(P>0.05)，간예조산후24 h출혈량명현교대조조소(P<0.05)。간예조산후출혈、뇨저류、신생인질식솔균명현교대조조저(P<0.05)。결론분면활>기실시자유체위경유조우태선로하강축단산정，제고음도분면솔，강저산부급신생인병발증발생솔。
Objective To investigate the impact of the implementation of free-position active at the stages of labor maternity outcomes. Methods The proposed transvaginal delivery primipara 220 cases were randomly divided into intervention group and control group,each of 110 patients, the control group used conventional supine position of the active, intervention group treated with a free-position active management, the rate of first exposed decline, the first,second and third of the total labor time and, finally adopted the mode of delivery, birth weight, Apgar score, 24h postpartum hemorrhage, maternal and neonatal complications of fetal activity were observed. Results The intervention group decreased fetal speed were significantly faster than the control group (P<0.05), the first and second stage of labor and total labor were significantly shorter than the control group (P<0.05). In the intervention group, vaginal delivery rate was significantly higher than the control group (P<0.05), vaginal delivery, cesarean section rate were significantly lower than the control group(P<0.05),birth weight, Apgar score between two groups,the difference were not statistically significance (P>0.05). In the intervention group, 24 h postpartum hemorrhage were significantly less than the control group (P<0.05), hemorrhage, urinary retention, neonatal asphyxia were significantly lower than the control group (P<0 . 05). Conclusion The implementation of active labor freedom fetal position can help decrease shorten the production process,improve the rate of vaginal delivery,reduce maternal and neonatal morbidity .
