CAJ | 학술논문

目的：探讨半卧位分娩方式对产程的影响。方法74例足月、单胎、头位初产妇随机分为观察组（n=37）与对照组（n=37），观察组采取半卧位分娩，对照组采取膀胱截石位分娩，对比两组产妇第二产程时间、自然分娩率、产后出血率及新生儿窒息发生率。结果观察组第二产程时间显著短于对照组（P＜0.01），且自然分娩率为97.3%（36/37），显著高于对照组的75.7%（28/37）（P＜0.01）；两组产后出血率、新生儿窒息发生率比较均无统计学差异（P＞0.05）。结论半卧位分娩方式能够有效缩短产程时间，提高自然分娩率，降低产后并发症发生率，值得临床推广。
목적：탐토반와위분면방식대산정적영향。방법74례족월、단태、두위초산부수궤분위관찰조（n=37）여대조조（n=37），관찰조채취반와위분면，대조조채취방광절석위분면，대비량조산부제이산정시간、자연분면솔、산후출혈솔급신생인질식발생솔。결과관찰조제이산정시간현저단우대조조（P＜0.01），차자연분면솔위97.3%（36/37），현저고우대조조적75.7%（28/37）（P＜0.01）；량조산후출혈솔、신생인질식발생솔비교균무통계학차이（P＞0.05）。결론반와위분면방식능구유효축단산정시간，제고자연분면솔，강저산후병발증발생솔，치득림상추엄。
Objective To discuss the influence of semireclining position delivery on stages of labor. Methods 74 term, singleton fetus,cephalic primiparas were randomly divided into the observation group(n=37) and the control group(n=37),the observation group were given semireclining position delivery, and the control group were given bladder lithotomy position delivery,then the second stage of labor,natural birth rates, postpartum hemorrhage rates,and the incidence of neonatal asphyxia were contrasted between the two groups. Results The second stage of labor in the observation group was significantly shorter than the control group(P<0.01);the natural birth rate of the observation group was 97.3%(36/37),significantly higher than 75.7%(28/37) in the control group(P <0.01);there was no significantly difference in the incidence of neonatal asphyxia and the postpartum hemorrhage rates between the two groups(P>0.05). Conclusion Semireclining position delivery can effectively reduce the labor time,improve the natural birth rates,and reduce the incidence of complications,it's worthy of promotion.