CAJ | 학술논문

目的：观察100例初产妇第一产程活跃期应用背景音乐联合改良式拉玛择呼吸法的效果。方法2012年12月至2013年12月间临产的初产妇200例，随机分为研究组和常规组各100例。研究组活跃期进入待产室开始使用改良式拉玛择呼吸法，常规组活跃期进入待产室常规观察照护。观察两组疼痛强度、血压差、心率差及活跃期所需时间。结果研究组疼痛程度明显减轻，血压差和心率差显著低于常规组（ P＜0．05），活跃期所需时间明显缩短，差异有统计学意义（P＜0．05）。结论背景音乐联合改良式拉玛择呼吸法在初产妇活跃期的应用中镇痛效果显著，可以稳定血压、心率，缩短活跃期。
목적：관찰100례초산부제일산정활약기응용배경음악연합개량식랍마택호흡법적효과。방법2012년12월지2013년12월간임산적초산부200례，수궤분위연구조화상규조각100례。연구조활약기진입대산실개시사용개량식랍마택호흡법，상규조활약기진입대산실상규관찰조호。관찰량조동통강도、혈압차、심솔차급활약기소수시간。결과연구조동통정도명현감경，혈압차화심솔차현저저우상규조（ P＜0．05），활약기소수시간명현축단，차이유통계학의의（P＜0．05）。결론배경음악연합개량식랍마택호흡법재초산부활약기적응용중진통효과현저，가이은정혈압、심솔，축단활약기。
Objective To understand the effects of background music combined with modified Ramaze breathing on primiparas during the active period of delivery .Method From December,2012 to December, 2013, 100 primiparas were chosen as an experimental group and another 100 primiparas were chosen as a control group for the study .Theprimiparas of the experimental group were attended with modified Ramaze breathing of during the active period after they entered the labor ward, while the control group were attended with routine care .Pain intensity, blood pressure, heart rate and the length of the active period of the two groups were observed and recorded .Findings In the study group, the pain was found to be significantly reduced .Pressure difference and difference of heart rate were significantly lower than that in the control group . The time of the active period was shortened considerably .The difference has statistical significance .Conclusion The application of background music combined with modified Ramaze breathing has significant analgesic effect onprimiparas during the active period of delivery .It can stabilize blood pressure and heart rate and can also shorten the active period of delivery .