| 王颖 朱宁湖 张晓雁 陈菊飞 廖翠 陈星梅.自由体位分娩加分娩减痛法在初产顺产妇中的临床应用效果[J].,2014,14(16):3115-3118 |
| 自由体位分娩加分娩减痛法在初产顺产妇中的临床应用效果 |
| Clinical Effect of Comprehensive Application of Free Position Childbirth andDelivery Analgesia Method in Primiparous and Eutocia Puerperae |
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| DOI： |
| 中文关键词: 初产顺产产妇 分娩减痛法 自由体位分娩法 结合应用 效果研究 |
| 英文关键词: Primiparous eutocia puerperae Delivery analgesia method Free position childbirth Comprehensive application Effect
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| 中文摘要: |
| 目的：研究和探讨自由体位分娩法和分娩减痛法结合起来在初产顺产妇中的临床应用效果。方法：选取2013 年1 月至2013
年12 月已被收治的符合标准的初产顺产妇女360 例为研究对象，将其随机分成A1 组(自由体位分娩法组) 、A2 组(分娩减痛法
组)和A1+A2 组(两种方法结合组)，每组120 例。观察和比较三组产妇阴道分娩产程时间、疼痛等级评分、出血量、剖宫产率、新生
儿Apgar 评分情况和产后不良情况发生率。结果：①A1+A2组的分娩产程时间低于A1 组及A2 组，疼痛等级评分优于A1组和
A2 组(P 均<0.05)；②A1+A2组的分娩过程中的出血量和剖宫产率均低于A1 组及A2 组(P<0.05)；③A1+A2 组新生儿Apgar 评分
情况比A1 组及A2 组好(P<0.05)；④A1+A2 组产后不良情况的发生率也低(P<0.05)。然而以上观察指标A1 组与A2 组之间的差
异均无统计学意义(P>0.05)。结论：在临床实践过程中对初产顺产产妇实施自由体位分娩结合分娩减痛法可以显著地改善产妇分
娩过程中的不良情况，对新生儿的影响也是积极的。两种方法的综合应用更具有良好的临床效果。 |
| 英文摘要: |
| Objective: To study and explore clinical effect of combining application of free position childbirth method and
childbirth pain reduction method in first-timer and eutocia maternal.Methods:Selected first-timer natural labor women 360 cases treated
in between January 2013 and January 2014 as the research object, randomly divided into groups of A1 group (free position childbirth
group), A2 (childbirth pain reduction group) and A1 + A2 group (combining two methods group), 120 cases in each group. Observed and
compared three groups in term of maternal vaginal delivery labor time, pain rating score, blood loss, cesarean section rate and neonatal
Apgar score and the incidence of postpartumadverse situation.Results:(1) childbirth labor time of A1 + A2 group was under A1 and A2
group, but pain grade was better than A1 and A2 group (P<0.05); (2) blood loss and the rate of cesarean section in the process of
childbirth of A1 + A2 group were less than A1 and A2 group (P<0.05); (3) neonatal Apgar score of A1 + A2 group was better than A1
and A2 group (P<0.05); (4) A1 + A2 group with a lower rate of postpartum adverse situation (P<0.05). However, as to the above
observation indexes the difference between A1 and A2 group had no statistical significance (P>0.05).Conclusion:In the process of
clinical practice for the first-timer eutocia puerperae, the comprehensive application of liberalized position labor and labor pain relief
method can significantly improve maternal adverse conditions in the process of childbirth, was also a positive effect on neonatal. The
combined application of two methods had a good clinical effect. |
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