CAJ | 학술논문

目的探讨孕期健康教育联合分娩镇痛对剖宫产率的影响.方法选择在妇产科门诊定期行产前检查的320例孕28周以上、无妊娠高危因素的初产妇.随机分为干预组和对照组各160例.干预组妇女接受根据她们自身需要设计的健康教育干预,并给予无痛分娩.对照组妇女接受常规孕期检查及指导.观察两组妊娠妇女的分娩方式、剖宫产原因及巨大儿、胎儿窘迫和头盆不称的发生率.结果干预组的剖宫产率为16.25％,对照组为63.13％,差异有统计学意义(x2=73.436,P＜0.01).干预组有医学指征的剖宫产率和无医学指征的剖宫产率分别是16.17％,0.00％,对照组分别是28.12％,35.00％.两组比较,差异有统计学意义(x2分别为67.879,6.534;P ＜0.05).结论孕期健康教育联合分娩镇痛能有效降低剖宫产率.
목적 탐토잉기건강교육연합분면진통대부궁산솔적영향.방법 선택재부산과문진정기행산전검사적320례잉28주이상、무임신고위인소적초산부.수궤분위간예조화대조조각160례.간예조부녀접수근거저문자신수요설계적건강교육간예,병급여무통분면.대조조부녀접수상규잉기검사급지도.관찰량조임신부녀적분면방식、부궁산원인급거대인、태인군박화두분불칭적발생솔.결과 간예조적부궁산솔위16.25％,대조조위63.13％,차이유통계학의의(x2=73.436,P＜0.01).간예조유의학지정적부궁산솔화무의학지정적부궁산솔분별시16.17％,0.00％,대조조분별시28.12％,35.00％.량조비교,차이유통계학의의(x2분별위67.879,6.534;P ＜0.05).결론 잉기건강교육연합분면진통능유효강저부궁산솔.
Objective To evaluate the effect of health education during pregnancy with analgesic delivery on the rate of cesarean section.Methods A total of 320 primipara with no high-risk pregnant factors in the outpatient service of gynecology and obstetrics were enrolled.They were randomly divided into intervention group and control group with 160 cases for each group.The intervention group accepted individual health education interventions and analgesic delivery,while control group received routine pregnancy examine and guidance.Then,the delivery way and the incidence of fetal macrosomia,fetal distress and so on were observed of two groups.Results The cesarean section rate of intervention group was 16.25％,and that of control group was 63.13％,and the difference was statistically significant (x2 =73.436,P ＜ 0.05),and the rate of cesarean section with medical index and no in intervention group respectively were16.17％ and 0.00％,and that of control group respectively were 28.12％ and 35.00％,and the difference was statistically significant (x2 =67.879,6.534,respectively ;P ＜ 0.05).Conclusions The implementation of health education with analgesic delivery may be effective to reduce the rate of cesarean section.