中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
36期
120-121,122
,共3页
助产士%伙伴式导乐陪伴%临床观察
助產士%夥伴式導樂陪伴%臨床觀察
조산사%화반식도악배반%림상관찰
Midwife%Partnership-doula%Clinical observation
目的：探讨助产士主导伙伴式导乐陪伴分娩的临床效果。方法：选取2010年8月-2012年8月在本院分娩的386例产妇，按照随机数字表法将其分为观察组和对照组各193例。对照组产妇给予常规护理措施，观察组产妇在常规护理基础上加以伙伴式导乐陪伴分娩，比较两组产妇分娩方式、产后出血率、新生儿窒息率及总产程时间。结果：观察组自然分娩率为84.5%，对照组自然分娩率为65.3%；观察组自然分娩率显著高于对照组（P<0.05）；观察组产妇产后出血率、新生儿窒息率及总产程时间均显著低于对照组（P<0.05）。结论：在产妇分娩时应用助产士主导伙伴式导乐分娩，可有效提高自然分娩率，缩短产程，降低产后出血率和新生儿窒息率，值得在临床上应用和推广。
目的：探討助產士主導夥伴式導樂陪伴分娩的臨床效果。方法：選取2010年8月-2012年8月在本院分娩的386例產婦，按照隨機數字錶法將其分為觀察組和對照組各193例。對照組產婦給予常規護理措施，觀察組產婦在常規護理基礎上加以夥伴式導樂陪伴分娩，比較兩組產婦分娩方式、產後齣血率、新生兒窒息率及總產程時間。結果：觀察組自然分娩率為84.5%，對照組自然分娩率為65.3%；觀察組自然分娩率顯著高于對照組（P<0.05）；觀察組產婦產後齣血率、新生兒窒息率及總產程時間均顯著低于對照組（P<0.05）。結論：在產婦分娩時應用助產士主導夥伴式導樂分娩，可有效提高自然分娩率，縮短產程，降低產後齣血率和新生兒窒息率，值得在臨床上應用和推廣。
목적：탐토조산사주도화반식도악배반분면적림상효과。방법：선취2010년8월-2012년8월재본원분면적386례산부，안조수궤수자표법장기분위관찰조화대조조각193례。대조조산부급여상규호리조시，관찰조산부재상규호리기출상가이화반식도악배반분면，비교량조산부분면방식、산후출혈솔、신생인질식솔급총산정시간。결과：관찰조자연분면솔위84.5%，대조조자연분면솔위65.3%；관찰조자연분면솔현저고우대조조（P<0.05）；관찰조산부산후출혈솔、신생인질식솔급총산정시간균현저저우대조조（P<0.05）。결론：재산부분면시응용조산사주도화반식도악분면，가유효제고자연분면솔，축단산정，강저산후출혈솔화신생인질식솔，치득재림상상응용화추엄。
Objective:To investigate the clinical results of midwife-led partnership-based doula childbirth.Method:Three hundred and eighty-six cases of maternal childbirth from August 2010 to August 2012 in the hospital were randomly divided into the observation group and the control group, each group of 193 cases. The control group received routine maternity care measures,the observation group on the basis of routine nursing mothers were given partnership-Doula,compared two groups of maternal mode of delivery,postpartum hemorrhage,neonatal asphyxia rate and the total process time.Result:The natural childbirth of the study group was 90.7%while the control group was 65.1%,and the difference between the two groups were statistically significant(P<0.05). The observation group of postpartum hemorrhage,neonatal asphyxia rate and total production process time were significantly lower than the control group,and all the difference between the two groups were statistically significant(P<0.05).Conclusion:Applied midwife-led maternity partnership type Doula,can effectively improve the natural birth rate,shorten the production process,reduce the rate of postpartum hemorrhage and neonatal asphyxia,worthy of clinical application and promotion.
