CAJ | 학술논문

目的：探讨分娩球运动待产与自主式屏气法联合对促进自然分娩的效果分析。方法选取200例初产妇作为研究对象，将其随机分为研究组与对照组，每组各100例。研究组产妇第一产程应用分娩球运动待产，第二产程应用自主式屏气法分娩。对照组产妇第一产程应用传统方式分娩，第二产程应用自主式屏气法分娩。结果研究组和对照组的自然分娩率分别为90．0％、72．0％，差异有统计学意义（P＜0．05）。研究组和对照组的满意度分别为92．0％、73．0％，两组差异有统计学意义（P＜0．05）。研究组第一产程时间、第二产程时间、屏气用力时长、产后2 h 出血量明显低于对照组，研究组先露下降速度明显高于对照组，差异均有统计学意义（P＜0．05）。结论应用分娩球运动待产与自主式屏气法联合可以促进自然分娩，提高自然分娩率，缩短产程时间，提高产妇的护理满意度。
목적：탐토분면구운동대산여자주식병기법연합대촉진자연분면적효과분석。방법선취200례초산부작위연구대상，장기수궤분위연구조여대조조，매조각100례。연구조산부제일산정응용분면구운동대산，제이산정응용자주식병기법분면。대조조산부제일산정응용전통방식분면，제이산정응용자주식병기법분면。결과연구조화대조조적자연분면솔분별위90．0％、72．0％，차이유통계학의의（P＜0．05）。연구조화대조조적만의도분별위92．0％、73．0％，량조차이유통계학의의（P＜0．05）。연구조제일산정시간、제이산정시간、병기용력시장、산후2 h 출혈량명현저우대조조，연구조선로하강속도명현고우대조조，차이균유통계학의의（P＜0．05）。결론응용분면구운동대산여자주식병기법연합가이촉진자연분면，제고자연분면솔，축단산정시간，제고산부적호리만의도。
Objective To investigate the effect of childbirth ball movement predelivery combined with autono‐mous breath holding method in promoting natural childbirth .Methods 200 primiparae were selected as the research subjects and randomly divided into the study group and the control group ,100 cases in each group .The study group applied the childbirth ball movement for conducting predelivery during the first stage of labor and the autonomous breath holding method for delivery during the second stage of labor .The control group applied the conventional mode for delivery during the first stage of labor and the autonomous breath holding method for delivery during the second stage of labor .Results The natural birth rate was 90 .0% in the study group and 72 .0% in the control group ,the difference was statistically significant(P< 0 .05) .The satisfaction degree was 92 .0% in the study group and 73 .0%in the control group ,the difference was statistically significant(P < 0 .05) .The time of first stage of labor ,time of second stage of labor ,time of breath holding and exerting strength and postpartum 2h hemorrhage volume in the study group were significantly lower than those in the control group ,the presentation decline rate in the study group was significantly higher than that in the control group the difference was statistically significant(P < 0 .05) .Conclu‐sion Application of childbirth ball movement predelivery combined with the autonomous breath holding method can promote natural childbirth ,increases the natural childbirth rate ,shortens the labor time and improves the parturient care satisfaction .