中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
7期
776-779
,共4页
胎膜早破%羊水%剖宫产术%体位%孕足月
胎膜早破%羊水%剖宮產術%體位%孕足月
태막조파%양수%부궁산술%체위%잉족월
Premature rupture of membranes%Amniotic fluid%Cesarean section%Position%Full-term pregnancy
目的：探讨非限制性自由体位对孕产妇临产时残余羊水量、分娩方式、产程时间、产后出血量以及相关并发症发生情况的影响。方法采用随机数字表法，将住院分娩的足月胎膜早破孕产妇88例随机分为观察组和对照组各44例。两组均采取胎膜早破常规处理，观察组采用非限制性自由体位，对照组采用传统的头低臀高位。比较两组孕产妇临产时残余羊水量、分娩方式、产程时间、产后出血量以及宫内感染、胎儿窘迫等并发症发生率的差异。结果观察组临产时残余羊水指数（ AFI）平均为（10．6±4．7）cm，对照组（8．7±3．4）cm，差异有统计学意义（t＝2．173，P＜0．05）。观察组阴道分娩率68．2％，对照组为45．5％，差异有统计学意义（χ2＝4．632，P＜0．05）。观察组产后出血量（227．6±29．7）ml，少于对照组的（293．4±41．2）ml，差异有统计学意义（t＝8．594，P＜0．01）。观察组第一、二产程时间，产程中宫内感染，胎儿窘迫，尿潴留，新生儿疾病等发生率均低于对照组，差异有统计学意义（P＜0．05）。结论对于足月头先露的胎膜早破孕产妇，在常规处理基础上，鼓励孕产妇采用非限制性的自由体位，维持足量的残余羊水量，对降低剖宫产率及宫内感染、胎儿窘迫等并发症发生率具有重要应用价值。
目的：探討非限製性自由體位對孕產婦臨產時殘餘羊水量、分娩方式、產程時間、產後齣血量以及相關併髮癥髮生情況的影響。方法採用隨機數字錶法，將住院分娩的足月胎膜早破孕產婦88例隨機分為觀察組和對照組各44例。兩組均採取胎膜早破常規處理，觀察組採用非限製性自由體位，對照組採用傳統的頭低臀高位。比較兩組孕產婦臨產時殘餘羊水量、分娩方式、產程時間、產後齣血量以及宮內感染、胎兒窘迫等併髮癥髮生率的差異。結果觀察組臨產時殘餘羊水指數（ AFI）平均為（10．6±4．7）cm，對照組（8．7±3．4）cm，差異有統計學意義（t＝2．173，P＜0．05）。觀察組陰道分娩率68．2％，對照組為45．5％，差異有統計學意義（χ2＝4．632，P＜0．05）。觀察組產後齣血量（227．6±29．7）ml，少于對照組的（293．4±41．2）ml，差異有統計學意義（t＝8．594，P＜0．01）。觀察組第一、二產程時間，產程中宮內感染，胎兒窘迫，尿潴留，新生兒疾病等髮生率均低于對照組，差異有統計學意義（P＜0．05）。結論對于足月頭先露的胎膜早破孕產婦，在常規處理基礎上，鼓勵孕產婦採用非限製性的自由體位，維持足量的殘餘羊水量，對降低剖宮產率及宮內感染、胎兒窘迫等併髮癥髮生率具有重要應用價值。
목적：탐토비한제성자유체위대잉산부임산시잔여양수량、분면방식、산정시간、산후출혈량이급상관병발증발생정황적영향。방법채용수궤수자표법，장주원분면적족월태막조파잉산부88례수궤분위관찰조화대조조각44례。량조균채취태막조파상규처리，관찰조채용비한제성자유체위，대조조채용전통적두저둔고위。비교량조잉산부임산시잔여양수량、분면방식、산정시간、산후출혈량이급궁내감염、태인군박등병발증발생솔적차이。결과관찰조임산시잔여양수지수（ AFI）평균위（10．6±4．7）cm，대조조（8．7±3．4）cm，차이유통계학의의（t＝2．173，P＜0．05）。관찰조음도분면솔68．2％，대조조위45．5％，차이유통계학의의（χ2＝4．632，P＜0．05）。관찰조산후출혈량（227．6±29．7）ml，소우대조조적（293．4±41．2）ml，차이유통계학의의（t＝8．594，P＜0．01）。관찰조제일、이산정시간，산정중궁내감염，태인군박，뇨저류，신생인질병등발생솔균저우대조조，차이유통계학의의（P＜0．05）。결론대우족월두선로적태막조파잉산부，재상규처리기출상，고려잉산부채용비한제성적자유체위，유지족량적잔여양수량，대강저부궁산솔급궁내감염、태인군박등병발증발생솔구유중요응용개치。
Objective To investigate the impact of unrestricted free position on the amount of residual amniotic fluid, delivery mode, labor time, postpartum haemorrhage and complication .Methods Using the random number table method , 88 pregnant women of premature rupture of membranes were divided into the observation group and control group , with 44 cases each . All pregnant women were given conventional treatment.The unrestricted free position was adopted in the observation group , and the head-low and hip-high position was adopted in the control group .The amount of residual amniotic fluid , delivery mode, labor time, postpartum haemorrhage and the incidence of intrauterine infection and fetal distress were compared between groups.Results During parturient the average residual amniotic fluid index (AFI) of the observation group was (10.6 ±4.7)cm and that of the control group was (8.7 ±3.4)cm, which was significantly different (t =2.173, P<0.05).The rate of vaginal delivery in the observation group was 68.2% and that in the control group was 45.5%, the difference was significantly different (χ2 =4.632, P<0.05).The quantity of bleeding in the observation group was (227.6 ±29.7)ml, and significantly lower than (293.4 ±41.2)ml in the control group (t=8.594, P<0.01).In the observation group, the time of the first and the second stage and the incidence of intrauterine infection during labor , urinary retention and neonatal diseases were significantly lower in the observation group (P<0.05).Conclusions For the full-term pregnancy women with premature rupture of membranes , on the basis of routine treatment , the unrestricted free position has the benefit of maintaining adequate residual amniotic fluid and reducing the incidence of complications , such as intrauterine infection and fetal distress, so it is worthy of promoting .
