护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
3期
59-62
,共4页
芳香疗法%产程%分娩结局
芳香療法%產程%分娩結跼
방향요법%산정%분면결국
aromatherapy%the stage of labor%delivery outcome
目的：探讨产程中应用芳香疗法对分娩结局的影响。方法选择262例单胎、初产妇、头位、足月，排除孕期胎儿窘迫、严重合并症及并发症的初产妇为研究对象。以产妇入院日期的单双号分组，对照组产妇除按常规观察护理外，在宫口开大2～3 cm时予以芳香疗法，对照组按产程观察常规观察护理。比较两组产妇分娩中疼痛程度、产程的时间、产程中用药、分娩方式、新生儿出生体质量、新生儿窒息率及产妇产后出血率。结果观察组疼痛程度低于对照组，差异有统计学意义（P＜0.01）；观察组第一、第二产程及总产程比对照组缩短，差异有统计学意义（P＜0.01）；观察组自然分娩率高于对照组，差异有统计学意义（P＜0.01）；观察组产程中盐酸哌替啶、缩宫素的使用率低于对照组，差异有统计学意义（P<0.05或P<0.01）；两组新生儿出生体质量、新生儿窒息率、产妇产后出血率比较，差异无统计学意义（P＞0.05）。结论初产妇产程中应用芳香疗法，能有效减轻产妇分娩期疼痛，缩短产程并减少药物的使用，促进自然分娩，降低剖宫产率。
目的：探討產程中應用芳香療法對分娩結跼的影響。方法選擇262例單胎、初產婦、頭位、足月，排除孕期胎兒窘迫、嚴重閤併癥及併髮癥的初產婦為研究對象。以產婦入院日期的單雙號分組，對照組產婦除按常規觀察護理外，在宮口開大2～3 cm時予以芳香療法，對照組按產程觀察常規觀察護理。比較兩組產婦分娩中疼痛程度、產程的時間、產程中用藥、分娩方式、新生兒齣生體質量、新生兒窒息率及產婦產後齣血率。結果觀察組疼痛程度低于對照組，差異有統計學意義（P＜0.01）；觀察組第一、第二產程及總產程比對照組縮短，差異有統計學意義（P＜0.01）；觀察組自然分娩率高于對照組，差異有統計學意義（P＜0.01）；觀察組產程中鹽痠哌替啶、縮宮素的使用率低于對照組，差異有統計學意義（P<0.05或P<0.01）；兩組新生兒齣生體質量、新生兒窒息率、產婦產後齣血率比較，差異無統計學意義（P＞0.05）。結論初產婦產程中應用芳香療法，能有效減輕產婦分娩期疼痛，縮短產程併減少藥物的使用，促進自然分娩，降低剖宮產率。
목적：탐토산정중응용방향요법대분면결국적영향。방법선택262례단태、초산부、두위、족월，배제잉기태인군박、엄중합병증급병발증적초산부위연구대상。이산부입원일기적단쌍호분조，대조조산부제안상규관찰호리외，재궁구개대2～3 cm시여이방향요법，대조조안산정관찰상규관찰호리。비교량조산부분면중동통정도、산정적시간、산정중용약、분면방식、신생인출생체질량、신생인질식솔급산부산후출혈솔。결과관찰조동통정도저우대조조，차이유통계학의의（P＜0.01）；관찰조제일、제이산정급총산정비대조조축단，차이유통계학의의（P＜0.01）；관찰조자연분면솔고우대조조，차이유통계학의의（P＜0.01）；관찰조산정중염산고체정、축궁소적사용솔저우대조조，차이유통계학의의（P<0.05혹P<0.01）；량조신생인출생체질량、신생인질식솔、산부산후출혈솔비교，차이무통계학의의（P＞0.05）。결론초산부산정중응용방향요법，능유효감경산부분면기동통，축단산정병감소약물적사용，촉진자연분면，강저부궁산솔。
Objective To discuss the effect of aromatherapy in stage of labor on delivery outcome. Methods In the study, objects including 262 primipara with single fetus, head presentation and full-term pregnancy but without any serious complications were randomly divided into observation group and control group. The aromatherapy in addition to routine nursing was used when the cervix was open about 2~3cm in observation group while in control group, routine nursing was applied. The pain, labor time, labor in medications, delivery mode, neonate birth weight,neonatal asphyxia, postpartum hemorrhage rate were compared in two groups. Results Patients in observation group experienced less pain that those in in control group ( P<0.01). The first, second and total stage of labor in observation group were shorter than those in control group(P<0.01). Natural delivery rates in observation group was higher (P<0.01) than that in control group, but the usage rate of dolantin and oxytocin was lower(P<0.05 or P<0.01).And the difference of neonate birth weight, neonatal asphyxia rate and postpartum hemorrhage rate between two groups were not statistically significant( P>0.05). Conclusion Aromatherapy is effective for uniparas to reduce the pain and the usage rate of medications and speed up the stage of labor. It could promote natural birth and decrease the rate of cesarean delivery.
