CAJ | 학술논문

目的：探讨自由体位分娩对产程及分娩方式的影响。方法选取本院2012年2月~2013年3月入院分娩的80例初产妇，将其随机分成研究组和对照组，各40例。对照组采取常规卧位方式分娩，研究组采取自由体位分娩，比较两组的临床效果。结果研究组的第一、二产程时间均显著短于对照组，自然分娩率明显高于对照组，剖宫产率、阴道助产率、新生儿窒息率、产后出血率、宫颈裂伤率、会阴侧切率及会阴Ⅲ度裂伤率均显著低于对照组，两组差异有统计学意义(P<0.05)。结论采取自由体位分娩可明显降低剖宫产率，提高自然分娩率，缩短产程时间，同时可减少产后出血，有利于新生儿健康，值得临床推广应用。
목적：탐토자유체위분면대산정급분면방식적영향。방법선취본원2012년2월~2013년3월입원분면적80례초산부，장기수궤분성연구조화대조조，각40례。대조조채취상규와위방식분면，연구조채취자유체위분면，비교량조적림상효과。결과연구조적제일、이산정시간균현저단우대조조，자연분면솔명현고우대조조，부궁산솔、음도조산솔、신생인질식솔、산후출혈솔、궁경렬상솔、회음측절솔급회음Ⅲ도렬상솔균현저저우대조조，량조차이유통계학의의(P<0.05)。결론채취자유체위분면가명현강저부궁산솔，제고자연분면솔，축단산정시간，동시가감소산후출혈，유리우신생인건강，치득림상추엄응용。
Objective To investigate the influence of free posture delivery on birth process and delivery mode. Meth-ods 80 primiparae delivered in our hospital from February 2012 to March 2013 were selected,and they was randomly divided into study group and control group,with 40 cases in each group.The control group was given conventional clino-statism delivery,while study group was given free posture delivery,the clinical effect betwen two groups were compared. Results The first and second stage of labor time of study group was significantly shorter than that of control group,and the natural birth rate was significantly higher than that of control group,but cesarean section rate,vaginal delivery rate, neonatal asphyxia rate,postpartum hemorrhage rate,cervical laceration rate,episiotomy rate andⅢ degree perineal lacer-ation rate was significantly lower than those of control group,the difference was significant (P<0.05). Conclusion Free posture delivery can significantly reduce the cesarean section rate and improve the natural birth rate,shorten the pro-duction process,while reduce postpartum hemorrhage,it is conducive to a healthy newborn,and it’s worthy of clinial pro-motion and application.