[1]张蕾*,苏晓丹,张东海,等.产程体位管理干预辅助应用对单胎足月产妇 产程时间及母婴结局的影响[J].中国计划生育和妇产科,2018,(8):69-71.
　ZHANG Lei*,SU Xiao-dan,ZHANG Dong-hai,et al.Influence of labor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth[J].Chinese Journal of Family Planning & Gynecotokology,2018,(8):69-71.
点击复制

产程体位管理干预辅助应用对单胎足月产妇 产程时间及母婴结局的影响
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年8期
页码:
69-71
栏目:
论著与临床
出版日期:
2018-08-25

文章信息/Info

Title:
Influence of labor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth
作者:
张蕾1*; 苏晓丹2; 张东海1; 赵丽森1
1.邯郸市中心医院手术室；2.大名县人民医院产科
Author(s):
ZHANG Lei1*;  SU Xiao-dan2;  ZHANG Dong-hai1;  ZHAO Li-sen1
1.Operating Room,Handan Central Hospital;2.Department of Obstetrics,Daming County People's Hospital,Handan Hebei 056000,P.R.China
关键词:
产程体位管理干预; 分娩; 产程时间; 母婴结局
Keywords:
labor management intervention; delivery; delivery time; maternal and neonatal outcomes
分类号:
R 717
摘要:
目的探讨产程体位管理干预辅助应用对单胎足月产妇产程时间及母婴结局的影响。方法选取邯郸市中心医院2015年6月至2017年6月单胎足月产妇共100例为研究对象，以随机数字表法分为对照组（50例）和观察组（50例），分别给予常规护理干预和在此基础上加用产程体位管理干预。比较两组产妇阴道分娩率、器械助产率、会阴裂伤程度、第二产程时间、产妇用力时间、产时出血量、新生儿窒息率及分娩满意度。结果观察组产妇阴道分娩率（900 %）和器械助产率（40 %）均优于对照组（700 %、200 %）（P<005）；观察组产妇会阴完整率（220 %）高于对照组（60 %），第二产程时间［(4596±741）min］、产妇用力时间［(3387±564)min］、产时出血量［(12034±4483)mL］及新生儿窒息率(00 %)均少于对照组［（6302±1017）min、（6112±1002）min、（14361±5015）mL、60 %］（P<005）；观察组产妇分娩满意度高于对照组（P<005）。结论产程体位管理干预辅助应用于单胎足月产妇可有效降低剖宫产和器械助产风险，减轻会阴裂伤、缩短第二产程，避免新生儿窒息发生，并有助于提高分娩满意度。
Abstract:
ObjectiveTo investigate the influence of labor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth. Methods100 full-term puerperal with single birth in the period from June 2015 to June 2017 in Handan Central Hospital were chosen and randomly divided into two groups including control group(50 cases) with conventional nursing intervention and observation group(50 cases) with labor management intervention on the basis of control group. The vaginal delivery rate, the equipment delivery rate, the perineal laceration degree, the second stage time of labor force, the forcibly time of maternal, the amount of bleeding in production, the incidence of neonatal birth asphyxia and the delivery satisfaction degree of both groups were compared. ResultsThe vaginal delivery rate(900 %) and the equipment delivery rate(40 %) of observation group were significant better than control group (700 %，200 %) (P<005). The perineal laceration degree of observation group（220 %） were significant better than control group（60 %）(P<005). The second stage time of labor force, the forcibly time of maternal, the amount of bleeding in production and the incidence of neonatal birth asphyxia of observation group［（4595±741）min，（3387±564）min，（12034±4483）mL，00 %］ were significant better than control group ［（6302±1017）min，（6112±1002）min，（14361±5015）mL，60 %］(P<005). The delivery satisfaction degree of observation group were significant higher than control group(P<005). ConclusionLabor management intervention on the delivery time and maternal and neonatal outcomes of full-term puerperal with single birth can efficiently reduce the risk of cesarean section and instrumental delivery, relieve the perineal laceration degree, shorten the second stage time of labor, avoid the neonatal asphyxia occurrence and be helpful to improve the delivery satisfaction.

参考文献/References:

［1］黄静无创分娩30例临床分析 ［J］中国妇幼保健，2014，29（20）：3225-3226 ［2］郭翠琴，常慧责任制助产护理对产科产妇分娩方式及母婴结局的影响 ［J］国际护理学杂志，2012，31（9）：1609-1611 ［3］薛春雷，章昉助产士主导伙伴式导乐陪伴分娩200例临床效果观察 ［J］齐鲁护理杂志，2012，18（20）：53-54 ［4］谢幸，苟文丽妇产科学 ［M］第8版北京：人民卫生出版社，2013：180-213 ［5］CENGIZ H, YAMAR L, EKIN M, et al. Management of intractable post-partum haemorrhage in a tertiary center:A 5-year experience ［J］. Nigerian Medical Journal : Journal of the Nigeria Medical Association, 2012, 53(2): 85-88. ［6］郭悦，王战云，邹磊责任制助产方案联合分娩球对孕妇分娩结局的影响 ［J］国际护理学杂志，2014，6（6）：1317-1318 ［7］汪红娟，周临，付爱萍，等责任制助产模式结合分娩球实施体位管理在分娩过程中的应用研究 ［J］护理与康复，2015，14（5）：410-412 ［8］AASHEIM V, NILSEN A B, LUKASSE M, et al. Perineal techniques during the second stage of labour for reducing perineal trauma ［J］. The Cochrane Database of Systematic Reviews, 2011, 3(12): CD006672. ［9］关爱民，朱志辉，谭务贞，等全程责任制助产加导乐陪伴分娩对提升产科质量的研究 ［J］实用医学杂志，2014，30（8）：1325-1327 ［10］FOROUGHIPOUR A, FIRUZEH F, GHAHIRI A, et al. The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome ［J］. Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences, 2011, 16(8): 1040-1046. ［11］黄丽华，肖震萍初产妇第二产程最佳用力时机探讨 ［J］现代妇产科进展，2012，21（8）：662-663 ［12］潘敏，雪丽霜，零恒莉，等产程早期体位干预配合分娩辅助设施对分娩的影响 ［J］中华护理杂志，2014，49（3）：297-300 ［13］鲁燕，马慧华责任制助产护理对初产妇分娩方式及产程进展的影响 ［J］国际护理学杂志，2014，33（2）：302-304 ［14］袁春助产责任制护理模式联合产时体位管理对产妇分娩结局的影响 ［J］中华现代护理杂志，2013，19（12）：1428-1429 ［15］赵磊，孙桂君，刘小丽分阶段体位管理联合自主屏气用力对初产妇第二产程和分娩结局的影响 ［J］护理学报，2014，21（13）：33-35 ［16］江丽萍，黄伟娟，曾清英产程管理在产后出血患者中的应用 ［J］护理实践与研究，2014，11（2）：66-67

相似文献/References:

[1]阚滨,肖美霞.妊娠合并血小板减少症65例临床分析[J].中国计划生育和妇产科,2009,(05):0.
　KAN Bin,XIAO Mei-xia The department of gynaecology and obstetrics,Shengli hospital of Rugao city,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(8):0.
[2]贾黎明,赵瑰丽,谭丽,等.加强孕期教育,合理降低剖宫产率[J].中国计划生育和妇产科,2011,(04):0.
　JIA Li-ming,ZHAO Gui-li,TAN Li..[J].Chinese Journal of Family Planning & Gynecotokology,2011,(8):0.
[3]杨业洲.胎儿电子监护的正确应用[J].中国计划生育和妇产科,2014,(05):0.
[4]李素梅.助产护士产前门诊对孕产妇心理状态、分娩结局和满意度的影响[J].中国计划生育和妇产科,2015,(04):0.
　LI Su-mei,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(8):0.
[5]周辉,闫清波.320例高龄产妇临床妊娠分析[J].中国计划生育和妇产科,2015,(06):0.
　ZHOU Hui,YAN Qing-bo,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(8):0.
[6]崔颖.音乐配合拉玛泽呼吸法在产程中的应用效果[J].中国计划生育和妇产科,2015,(10):0.
　CUI Ying,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(8):0.
[7]李岚.低频神经和肌肉刺激仪在分娩镇痛中的应用价值及其对母儿的影响[J].中国计划生育和妇产科,2016,(01):0.
　LI Lan,[J].Chinese Journal of Family Planning & Gynecotokology,2016,(8):0.
[8]冯艳霞,张洁,张月,等.产后盆底康复治疗研究进展[J].中国计划生育和妇产科,2016,(08):0.
[9]王梅,罗新*.高龄产妇盆底康复治疗研究现状[J].中国计划生育和妇产科,2017,(5):11.
　WANG Mei,LUO Xin*.Research status of rehabilitation of pelvic floor in elderly puerpera[J].Chinese Journal of Family Planning & Gynecotokology,2017,(8):11.
[10]夏华安*,江紫妍,胡静,等.第二产程不同体位娩出胎儿的临床应用效果[J].中国计划生育和妇产科,2019,(1):41.
　XIA Hua-an*,JIANG Zi-yan,HU Jing,et al.Clinical application effects of delivery fetus in different postures during second stage of labor[J].Chinese Journal of Family Planning & Gynecotokology,2019,(8):41.

备注/Memo

备注/Memo:
河北省卫生厅科技成果推广课题（项目编号：20171156）
更新日期/Last Update: 2018-08-25