CAJ | 학술논문

目的：探讨无痛分娩联合缩宫素在缩短产程中的效果,总结护理经验。方法采用前瞻性、不完全对照研究方式将160例要求进行无痛分娩的产妇按照孕妇知情同意原则分为观察组(n=84例)与对照组(n=76例),对照组采用硬膜外阻滞麻醉无痛分娩,观察组在对照组基础上采用缩宫素。结果观察组自然分娩72例,阴道助产5例,刨宫产7例,对照组自然分娩63例,阴道助产4例,刨宫产9例,两组产妇的分娩结局比较差异无统计学意义,P>0.05；观察组产妇自然分娩及阴道助产的第一产程时间、第二产程时间、第三产程时间及产后2h 出血量均显著低于对照组,P<0.001。结论无痛分娩联合缩宫素与无痛分娩对分娩结局无明显影响,但可有效缩短产程时间及减少产后出血量,护理人员应密切加强对穿刺、麻醉及心电的监测,保证分娩安全。
목적：탐토무통분면연합축궁소재축단산정중적효과,총결호리경험。방법채용전첨성、불완전대조연구방식장160례요구진행무통분면적산부안조잉부지정동의원칙분위관찰조(n=84례)여대조조(n=76례),대조조채용경막외조체마취무통분면,관찰조재대조조기출상채용축궁소。결과관찰조자연분면72례,음도조산5례,포궁산7례,대조조자연분면63례,음도조산4례,포궁산9례,량조산부적분면결국비교차이무통계학의의,P>0.05；관찰조산부자연분면급음도조산적제일산정시간、제이산정시간、제삼산정시간급산후2h 출혈량균현저저우대조조,P<0.001。결론무통분면연합축궁소여무통분면대분면결국무명현영향,단가유효축단산정시간급감소산후출혈량,호리인원응밀절가강대천자、마취급심전적감측,보증분면안전。
Objective To explore the efficacy of Painless childbirth combined oxytocin in shorten the production process, Sum-marize nursing experience. Methods It is a prospective, incomplete controlled study. 160 cases of requirements painless delivery maternal in accordance with the principle of informed consent of pregnant women divided into two groups (n = 84 patients) and control group (n =76 patients). The control group were used epidural anesthesia with painless child-birth,and the observation group were used oxytocin on the basis of the control group. Results It was 63 cases with nat-ural childbirth,4 cases with vaginal delivery, 9 cases with cesarean in the control group,and that was 72 cases with natural childbirth, 5 cases with vaginal delivery, 7 cases with cesarean in the observation group. the Puerpera birth outcomes between the two groups com-pared with no significant difference. The first stage of labor time, the second stage of labor, the third stage of labor and 2h blood loss after childbirth of Natural childbirth and vaginal delivery in the observation group were significantly lower than the control group, P<0. 001. Conclusion Painless childbirth combined oxytocin had no effect on birth outcomes compared with painless childbirth. but that could effectively shorten the stage of labor time and postpartum hemorrhage 2 h, nurses should further strengthen the puncture anesthe-sia and ECG monitoring, to ensure delivery safety.