中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
29期
3627-3629
,共3页
分娩%自由体位%产程进展
分娩%自由體位%產程進展
분면%자유체위%산정진전
Delivery%Free position%Labor progress
目的 探讨自由体位分娩对产程进展的影响.方法 将2012年2月至2013年2月衢州市人民医院诊治的120例产妇根据随机数字法分为对照组(常规体位)和观察组(自由体位),每组60例,对两组产妇的分娩方式、产程时间、新生儿窒息率、产后出血率进行观察和比较.结果 观察组产妇的顺产率明显高于对照组(81.7％比55.0％),差异有统计学意义(x2=9.86,P＜0.05);剖宫产率显著降低(15.0％比38.3％),差异有统计学意义(x2=8.35,P＜0.05);第一产程[(8.5±3.0)h比(11.0±3.5)h]、第二产程[(28.0±17.0) min比(52.0±17.0) min]、第三产程[(6.0±3.0)min比(8.0±4.0)min]及总产程[(9.2±3.5)h比(12.0±3.8)h]均明显缩短,差异有统计学意义(t分别为2.42,2.89,2.27,2.44;P ＜0.05);新生儿窒息率(1.7％比15.0％)、产后出血率(1.7％比13.3％)均明显降低,差异有统计学意义(x2分别为6.98,4.32;P ＜0.05).结论 自由体位分娩明显加速产程进展,提高分娩质量,值得临床推广.
目的 探討自由體位分娩對產程進展的影響.方法 將2012年2月至2013年2月衢州市人民醫院診治的120例產婦根據隨機數字法分為對照組(常規體位)和觀察組(自由體位),每組60例,對兩組產婦的分娩方式、產程時間、新生兒窒息率、產後齣血率進行觀察和比較.結果 觀察組產婦的順產率明顯高于對照組(81.7％比55.0％),差異有統計學意義(x2=9.86,P＜0.05);剖宮產率顯著降低(15.0％比38.3％),差異有統計學意義(x2=8.35,P＜0.05);第一產程[(8.5±3.0)h比(11.0±3.5)h]、第二產程[(28.0±17.0) min比(52.0±17.0) min]、第三產程[(6.0±3.0)min比(8.0±4.0)min]及總產程[(9.2±3.5)h比(12.0±3.8)h]均明顯縮短,差異有統計學意義(t分彆為2.42,2.89,2.27,2.44;P ＜0.05);新生兒窒息率(1.7％比15.0％)、產後齣血率(1.7％比13.3％)均明顯降低,差異有統計學意義(x2分彆為6.98,4.32;P ＜0.05).結論 自由體位分娩明顯加速產程進展,提高分娩質量,值得臨床推廣.
목적 탐토자유체위분면대산정진전적영향.방법 장2012년2월지2013년2월구주시인민의원진치적120례산부근거수궤수자법분위대조조(상규체위)화관찰조(자유체위),매조60례,대량조산부적분면방식、산정시간、신생인질식솔、산후출혈솔진행관찰화비교.결과 관찰조산부적순산솔명현고우대조조(81.7％비55.0％),차이유통계학의의(x2=9.86,P＜0.05);부궁산솔현저강저(15.0％비38.3％),차이유통계학의의(x2=8.35,P＜0.05);제일산정[(8.5±3.0)h비(11.0±3.5)h]、제이산정[(28.0±17.0) min비(52.0±17.0) min]、제삼산정[(6.0±3.0)min비(8.0±4.0)min]급총산정[(9.2±3.5)h비(12.0±3.8)h]균명현축단,차이유통계학의의(t분별위2.42,2.89,2.27,2.44;P ＜0.05);신생인질식솔(1.7％비15.0％)、산후출혈솔(1.7％비13.3％)균명현강저,차이유통계학의의(x2분별위6.98,4.32;P ＜0.05).결론 자유체위분면명현가속산정진전,제고분면질량,치득림상추엄.
Objective To explore the effect of free position delivery on the labor progress.Methods The 120 puerperants in our hospital from Feb 2012 to Feb 2013 randomly divided into the control group (routine position) and the observation group (free position),each with 60 cases.The delivery mode,labor time,the rate of neonatal asphyxia and postpartum hemorrhage in the two groups were observed and compared.Results Compared with the control group,the rate of vaginal delivery in the observation group was significantly increased (81.7％ vs 55.0％),and the difference was statistically significant (x2 =9.86,P ＜0.05) ; the rate of cesarean section in the observation group was obviously decreased (15.0％ vs 38.3％),and the difference was statistically significant (x2 =8.35,P ＜ 0.05) ; the first (8.5 ± 3.0 vs 11.0 ± 3.5),second (28.0±17.0 vs 52.0±17.0),third stage (6.0 ±3.0 vs 8.0 ±4.0) and total stage (9.2 ±3.5 vs 12.0 ±3.8) of labor time were significantly reduced in the observation group,and the differences were statistically significant (t =2.42,2.89,2.27,2.44,respectively; P ＜ 0.05) ; the rate of neonatal asphyxia (1.7％ vs 15.0％) and postpartum hemorrhage (1.7％ vs 13.3％) were obviously decreased in the observation group,and the differences were statistically significant (x2 =6.98,4.32,respectively; P ＜ 0.05).Conclusions The free position dehvery can accelerate the labor progress,enhance the delivery quality,and is worthy of clinical promotion.
