齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
14期
2082-2084
,共3页
何华聪%罗冰贤%杜京华%蔡跃
何華聰%囉冰賢%杜京華%蔡躍
하화총%라빙현%두경화%채약
拉玛泽呼吸法%自然分娩%产程%产后并发症
拉瑪澤呼吸法%自然分娩%產程%產後併髮癥
랍마택호흡법%자연분면%산정%산후병발증
Lamaze breathing training%Natural childbirth%Birth process%Postpartum complications
目的：观察拉玛泽呼吸法在自然分娩中的临床效果。方法将318例初产妇随机分成观察组和对照组，各159例。观察组孕妇自孕28周坚持每天进行拉玛泽呼吸训练；对照组孕妇未进行拉玛泽呼吸训练。观察两组的分娩结局、各产程时间、产后并发症情况、新生儿Apgar评分。结果观察组顺产率为88．7％，对照组顺产率为79．2％，两组顺产率差异具有统计学意义（ c2＝5．254，P＝0．022）。两组顺产产妇第一产程时间、第二产程时间、第三产程时间及总产程时间差异均有统计学意义。观察组各产程时间均少于对照组。观察组产妇软产道裂伤及胎儿窘迫发生率（10．6％，4．3％）均低于对照组（21．4％，11．1％），差异具有统计学意义。结论拉玛泽呼吸法可有效降低剖宫产率，获得良好的妊娠结局，提高母婴安全和产科质量，可以作为产前教育项目向临床推广应用。
目的：觀察拉瑪澤呼吸法在自然分娩中的臨床效果。方法將318例初產婦隨機分成觀察組和對照組，各159例。觀察組孕婦自孕28週堅持每天進行拉瑪澤呼吸訓練；對照組孕婦未進行拉瑪澤呼吸訓練。觀察兩組的分娩結跼、各產程時間、產後併髮癥情況、新生兒Apgar評分。結果觀察組順產率為88．7％，對照組順產率為79．2％，兩組順產率差異具有統計學意義（ c2＝5．254，P＝0．022）。兩組順產產婦第一產程時間、第二產程時間、第三產程時間及總產程時間差異均有統計學意義。觀察組各產程時間均少于對照組。觀察組產婦軟產道裂傷及胎兒窘迫髮生率（10．6％，4．3％）均低于對照組（21．4％，11．1％），差異具有統計學意義。結論拉瑪澤呼吸法可有效降低剖宮產率，穫得良好的妊娠結跼，提高母嬰安全和產科質量，可以作為產前教育項目嚮臨床推廣應用。
목적：관찰랍마택호흡법재자연분면중적림상효과。방법장318례초산부수궤분성관찰조화대조조，각159례。관찰조잉부자잉28주견지매천진행랍마택호흡훈련；대조조잉부미진행랍마택호흡훈련。관찰량조적분면결국、각산정시간、산후병발증정황、신생인Apgar평분。결과관찰조순산솔위88．7％，대조조순산솔위79．2％，량조순산솔차이구유통계학의의（ c2＝5．254，P＝0．022）。량조순산산부제일산정시간、제이산정시간、제삼산정시간급총산정시간차이균유통계학의의。관찰조각산정시간균소우대조조。관찰조산부연산도렬상급태인군박발생솔（10．6％，4．3％）균저우대조조（21．4％，11．1％），차이구유통계학의의。결론랍마택호흡법가유효강저부궁산솔，획득량호적임신결국，제고모영안전화산과질량，가이작위산전교육항목향림상추엄응용。
Objective To observe the clinical effect of Lamaze breathing in natural childbirth. Methods 318 cases of primiparas were randomly divided into observation group and control group, each of 159 cases.Observations group of pregnant women from 28 weeks of pregnancy insist on Lamaze breathing training every day;pregnant women in the control group were not Lamaze breathing training.Two groups were observed in birth outcomes, the labor time, postpartum complications, Apgar score.Results The rate of vaginal delivery was 88.7%in observation group and the control group the rate of vaginal delivery was 79.2%, the difference between the rate of vaginal delivery of two groups was statistically significant ( c2 =5.254, P =0.022 ) The difference between the first stage of labor, the second stage of labor time, the third stage of labor time and the total labor time of two groups were statistically significant.The observation group each labor time was less than in the control group.The incidence of soft birth canal laceration and fetal distress in the observation group (10.6%, 4.3%) were lower than the control group ( 21.4%, 11.1%) , the difference was statistically significant. Conclusions Lamaze breathing training can effectively reduce the cesarean section rate, get a good pregnancy outcome, and improve maternal and child safety and the quality of Obstetrics, it can be used as a prenatal education project.
