CAJ | 학술논문

目的探讨拉玛泽减痛分娩法在初产妇分娩中的应用效果.方法选取初产妇225例作为对照组,在孕7～9个月不接受拉玛泽减痛分娩法训练,分娩时实施常规护理,并采用导乐陪伴；观察组361例,在孕7～9个月接受拉玛泽减痛分娩法训练,分娩时除导乐陪伴外,严格执行拉玛泽减痛分娩法技术规范.比较两组阴道分娩产程时间、分娩方式、分娩疼痛分级.结果两组第一产程、总产程时间差异均有统计学意义(P＜0.01)；分娩方式中顺产、剖宫产差异均有统计学意义(P＜0.01)；疼痛分级中0～3级差异均有统计学意义(P＜0.01).结论拉玛泽减痛分娩法应用于初产妇,可以缩短产程时间,有利于促进自然分娩,有效地减轻分娩疼痛程度,值得产科临床优先应用.
목적 탐토랍마택감통분면법재초산부분면중적응용효과.방법 선취초산부225례작위대조조,재잉7～9개월불접수랍마택감통분면법훈련,분면시실시상규호리,병채용도악배반；관찰조361례,재잉7～9개월접수랍마택감통분면법훈련,분면시제도악배반외,엄격집행랍마택감통분면법기술규범.비교량조음도분면산정시간、분면방식、분면동통분급.결과 량조제일산정、총산정시간차이균유통계학의의(P＜0.01)；분면방식중순산、부궁산차이균유통계학의의(P＜0.01)；동통분급중0～3급차이균유통계학의의(P＜0.01).결론 랍마택감통분면법응용우초산부,가이축단산정시간,유리우촉진자연분면,유효지감경분면동통정도,치득산과림상우선응용.
Objective To discuss the effect of Lamaze pain-relieving delivery method on the primipara.Methods A total of 225cases primiparas were selected in the control group,in which the pregnant women were not carried out the Lamaze pain-relieving training and received regular nursing and at the same time were quipped with music guide during the labor period.A total of 361 primiparas were selected in the observation group,in which the pregnant women were carried out the Lamaze pain-relieving training when they had been pregnant for 7 to 9 months and besides the music guide,the technical standards for Lamaze childbirth method were strictly implemented.The delivery periods,labor ways and degrees of labor pain of vaginal birth in two groups were compared.Results The differences of first delivery process and total delivery process in two groups had statistical significance (P ＜ 0.01).The differences between the natural labor and caesarean birth had statistical significance (P ＜0.01).Among the pain grading,the differences in the grades from 0 to 3 had statistical significance (P ＜ 0.01).Conclusions The application of Lamaze childbirth method on the primipara could shorten the delivery process,relieve the degree of labor pain and strongly facilitate the natural labor,which is a valuable delivery method for the clinically preferential application.