CAJ | 학술논문

目的：探讨分娩球联合抚触对初产妇分娩的影响。方法选择头位无妊娠并发症，可下床活动，宫口开大3 cm的初产妇400例，按入院单双号顺序分观察组200例，对照组200例。观察组采用分娩球联合抚触，对照组单纯应用分娩球。观察两组产妇产程时间、疼痛程度、分娩方式、产后2h出血量、新生儿Apgar评分等情况。结果观察组第一产程及总产程时间、疼痛程度与对照组比较差异有统计学意义（ P＜0.05），而两组分娩方式、第二、三产程时间、产后2 h出血量、新生儿Apgar评分比较差异无统计学意义（ P＞0.05）。结论分娩球联合抚触应用于初产妇分娩能减轻疼痛，促进产程进展，缩短产程时间，值得在临床推广应用。
목적：탐토분면구연합무촉대초산부분면적영향。방법선택두위무임신병발증，가하상활동，궁구개대3 cm적초산부400례，안입원단쌍호순서분관찰조200례，대조조200례。관찰조채용분면구연합무촉，대조조단순응용분면구。관찰량조산부산정시간、동통정도、분면방식、산후2h출혈량、신생인Apgar평분등정황。결과관찰조제일산정급총산정시간、동통정도여대조조비교차이유통계학의의（ P＜0.05），이량조분면방식、제이、삼산정시간、산후2 h출혈량、신생인Apgar평분비교차이무통계학의의（ P＞0.05）。결론분면구연합무촉응용우초산부분면능감경동통，촉진산정진전，축단산정시간，치득재림상추엄응용。
Objective To explore the effect of application of delivery ball combined with touching during de -livery among primipara .Methods Four hundred primipara women who would deliver had head position without preg-nancy complications , and had the uterus cervix at 3 cm wide were recruited in the observation .The women were allo-cated to the observation ( n=200 ) or the control group ( n=200 ) according to the sequence of admission to the hospi-tal.The primiparas in the observation group received delivery ball combined with touching and those in the control group only received delivery ball .The labor time , the degree of pain , the mode of delivery , the amount of bleeding within 2 hours after delivery and neonatal apgar scores were observed in the two groups .Results The time of the first stage and the total stage of labor , and the degree of pain in the observation group were statistically different in com-parison to the control group ( P<0.05 ) .However , there was no statistical difference in delivery mode , the time of the second and the third stage of labor , the amount of bleeding within 2 hours after delivery and neonatal apgar scores between the two groups ( P>0.05 ) .Conclusion Application of delivery ball combined with touching can relieve pain, promote the progress of labor , and shorten the time of stage of labor among primipara women , and it is worthy of clinical application .