当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
4期
103-104
,共2页
肖丽霏%英伍%孙伟%肖欣欣
肖麗霏%英伍%孫偉%肖訢訢
초려비%영오%손위%초흔흔
助产护理干预%高龄产妇%分娩方式%产程
助產護理榦預%高齡產婦%分娩方式%產程
조산호리간예%고령산부%분면방식%산정
Midwifery nursing intervention%Older mothers%Delivery mode%Labor
目的：研究助产护理干预对高龄产妇分娩方式及产程的影响。方法选取174例高龄产妇随机均分为实验组和对照组（n=87）。对实验组实施产前、产时、产后一系列的系统的护理干预，对对照组则实施常规护理措施。观察记录2组产妇的分娩方式，自然分娩时的产程及产后出血状况并进行比较。结果实验组的自然分娩率为67%，显著高于对照组的55%。在剖腹产率方面，对照组剖腹产率为30%也显著高于实验组18%。2组比较差异均有统计学意义（P<0.05）,而在自然分娩的产程方面较对照组明显短，产后出血，实验组也比对照组少，2组的差异均有统计学意义（P<0.05）。结论护理干预可以显著提高高龄产妇的自然分娩率,从而减少剖腹产率，明显降低了产后出血的发生,还保障了母婴的安全。
目的：研究助產護理榦預對高齡產婦分娩方式及產程的影響。方法選取174例高齡產婦隨機均分為實驗組和對照組（n=87）。對實驗組實施產前、產時、產後一繫列的繫統的護理榦預，對對照組則實施常規護理措施。觀察記錄2組產婦的分娩方式，自然分娩時的產程及產後齣血狀況併進行比較。結果實驗組的自然分娩率為67%，顯著高于對照組的55%。在剖腹產率方麵，對照組剖腹產率為30%也顯著高于實驗組18%。2組比較差異均有統計學意義（P<0.05）,而在自然分娩的產程方麵較對照組明顯短，產後齣血，實驗組也比對照組少，2組的差異均有統計學意義（P<0.05）。結論護理榦預可以顯著提高高齡產婦的自然分娩率,從而減少剖腹產率，明顯降低瞭產後齣血的髮生,還保障瞭母嬰的安全。
목적：연구조산호리간예대고령산부분면방식급산정적영향。방법선취174례고령산부수궤균분위실험조화대조조（n=87）。대실험조실시산전、산시、산후일계렬적계통적호리간예，대대조조칙실시상규호리조시。관찰기록2조산부적분면방식，자연분면시적산정급산후출혈상황병진행비교。결과실험조적자연분면솔위67%，현저고우대조조적55%。재부복산솔방면，대조조부복산솔위30%야현저고우실험조18%。2조비교차이균유통계학의의（P<0.05）,이재자연분면적산정방면교대조조명현단，산후출혈，실험조야비대조조소，2조적차이균유통계학의의（P<0.05）。결론호리간예가이현저제고고령산부적자연분면솔,종이감소부복산솔，명현강저료산후출혈적발생,환보장료모영적안전。
Objective To study the midwifery nursing intervention impact on the mode of delivery of advanced maternal age and process. Methods 174 cases of advanced maternal age treated in hospital were randomly divided into the experimental group and the control group(n=87) from January 2013 to January 2014. The experimental group was received prenatal, intrapartum, postpartum care system, a series of interventions in the control group was received routine care measures. Observed and recorded two maternal mode of delivery, labor and postpartum hemorrhage condition natural childbirth and compared them. Results The experimental group and natural birth rate was 67%, significantly higher than the control group of 55%. In the cesarean section rate, controls the caesarean section rate was 30%was significantly higher than that in the experimental group 18%. The difference between the 2 groups was statistically significant (P<0.05). In the production process of natural childbirth than control group was significantly shorter, postpartum hemorrhage, the experimental group is less than the control group, the two groups had significant differences. Conclusion Nursing intervention can significantly improve the natural birth rate of older mothers, thereby reduces the caesarean section rate, significantly reduces the incidence of postpartum hemorrhage, but also protects the mother and child safety.
