CAJ | 학술논문

目的：：研究腹部湿热敷配合导乐陪伴分娩对分娩的影响。方法：将280例足月、单胎、头位且无剖宫产适应症的初产妇随机分为两组，对照组140例给予常规护理，观察组140例在常规护理的基础上实施腹部湿热敷配合导乐陪伴。观察两组产妇在分娩方式，及非剖宫产产妇第一、二产程时间，产后2h出血量等方面的情况并进行比较。结果：观察组产妇正常顺产率明显高于对照组，在非剖宫产产妇中，观察组产妇第一、二产程的时间和产后2h的出血量明显少于对照组。结论：对初产妇采用腹部湿热敷配合导乐陪伴分娩，可提高阴道分娩率，缩短产程，减少产后出血量。
목적：：연구복부습열부배합도악배반분면대분면적영향。방법：장280례족월、단태、두위차무부궁산괄응증적초산부수궤분위량조，대조조140례급여상규호리，관찰조140례재상규호리적기출상실시복부습열부배합도악배반。관찰량조산부재분면방식，급비부궁산산부제일、이산정시간，산후2h출혈량등방면적정황병진행비교。결과：관찰조산부정상순산솔명현고우대조조，재비부궁산산부중，관찰조산부제일、이산정적시간화산후2h적출혈량명현소우대조조。결론：대초산부채용복부습열부배합도악배반분면，가제고음도분면솔，축단산정，감소산후출혈량。
Objective:To explore the effect of hot-wet compression on the abdomen combined with Doula delivery. Methods:280 primiparas with full-term and single pregnancy,delivery of head presentation and no indications of cesarean sections were randomly divided into two groups. 140 cases in the control group were given conventional nursing while 140 cases in the observation group,on the basis of routine nursing,were treated with hot-wet compression on the abdomen combined with Doula delivery. The delivery conditions of two groups were observed before and after the intervention. For the primiparas without cesarean sections,the data about the bleeding vol-ume in the first and second stage of labor and 2 hours after delivery were compared. Results:The eutocia of the observation group was significantly higher than that of control group and the bleeding volume on the first and second stage of labor and 2 hours after delivery in the observation group was obviously less than that in the control group Conclusion:The employment of hot-wet compression on the abdomen combined with Doula delivery can shorten the birth process,reduce postpartum hemorrhage.