[1]杨 莹.分娩镇痛联合体位护理对产妇产程及镇痛效果的影响[J].医学信息,2022,35(09):178-180.[doi:10.3969/j.issn.1006-1959.2022.09.046]
 YANG Ying.Effect of Combined Position Nursing for Labor Analgesia on Labor Process and Analgesic Effect of Puerpera[J].Medical Information,2022,35(09):178-180.[doi:10.3969/j.issn.1006-1959.2022.09.046]
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分娩镇痛联合体位护理对产妇产程及镇痛效果的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年09期
页码:
178-180
栏目:
护理研究
出版日期:
2022-05-01

文章信息/Info

Title:
Effect of Combined Position Nursing for Labor Analgesia on Labor Process and Analgesic Effect of Puerpera
文章编号:
1006-1959(2022)09-0178-03
作者:
杨 莹
(大连医科大学附属第一医院产科,辽宁 大连 116000)
Author(s):
YANG Ying
(Department of Obstetrics,the First Affiliated Hospital of Dalian Medical University,Dalian 116000,Liaoning,China)
关键词:
分娩镇痛体位护理疼痛评分产程
Keywords:
Labor analgesiaBody position nursingPain scoreLabor process
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2022.09.046
文献标志码:
A
摘要:
目的 研究分娩镇痛联合体位护理对产妇镇痛效果及产程的影响。方法 选取2019年6月-2020年4月在我院分娩的92例产妇为研究对象,采用随机数字表法分为对照组和观察组,各46例。对照组给予分娩镇痛,观察组在对照组基础上给予体位护理,比较两组产程时间、疼痛有效率、剖宫产率、新生儿Apgar评分、产妇和新生儿并发症发生情况以及护理满意度。结果 观察组第一、第二产程时间均短于对照组(P<0.05),第三产程时间短于对照组,但差异无统计学意义(P>0.05);观察组疼痛总有效率为91.30%,高于对照组的82.61%(P<0.05);观察组剖宫产率低于对照组,新生儿Apgar评分高于对照组(P<0.05);观察组产妇和新生儿并发症发生率为4.35%,低于对照组的13.04%(P<0.05);观察组护理满意度为97.83%,高于对照组的86.96%(P<0.05)。结论 分娩镇痛联合体位护理镇痛效果确切,可提高疼痛有效率,缩短第一、第二产程,降低剖宫产率,提高新生儿Apgar评分和护理满意度,降低新生儿和产妇并发症发生率,具有显著的应用优势。
Abstract:
Objective To study the effect of combined position nursing on maternal analgesia and labor process.Methods A total of 92 pregnant women of maternal delivery in our hospital from June 2019 to April 2020 were selected and randomly divided into control group and observation group, with 46 cases in each group. The control group was given labor analgesia, and the observation group was given posture nursing on the basis of the control group. The labor time, pain efficiency, cesarean section rate, neonatal Apgar score, maternal and neonatal complications and nursing satisfaction were compared between the two groups.Results The first and second stages of labor in the observation group were shorter than those in the control group (P<0.05), the third stage of labor time was shorter than the control group, but the difference was not statistically significant (P>0.05). The total effective rate of pain in the observation group was 91.30%, which was higher than 82.61% in the control group (P<0.05). The cesarean section rate in the observation group was lower than that in the control group, and the neonatal Apgar score was higher than that in the control group (P<0.05). The incidence of maternal and neonatal complications in the observation group was 4.35%, which was lower than 13.04% in the control group (P<0.05). The nursing satisfaction of the observation group was 97.83%, which was higher than 86.96% of the control group (P<0.05).Conclusion The effect of labor analgesia combined with body position nursing analgesia is exact, which can improve the effective rate of pain, shorten the first and second stages of labor, reduce the cesarean section rate, improve neonatal Apgar score and nursing satisfaction, and reduce the incidence of neonatal and maternal complications. It has obvious application advantages.

参考文献/References:

[1]杨芸,王细根.罗哌卡因联合舒芬太尼硬膜外无痛分娩的效果及应激反应的研究[J].实用医技杂志,2017,24(11):1241-1242.[2]卢伟良,钱彦.罗哌卡因复合舒芬太尼硬膜外麻醉对产妇疼痛及应激反应的影响[J].浙江创伤外科,2018,23(5):1046-1048.[3]王叶平,陶洁静,陈海迎,等.分娩镇痛仪联合子宫颈扩张球囊在足月妊娠羊水偏少产妇分娩临床观察[J].浙江临床医学,2017,19(10):1890-1892.[4]吴喜枝.全程陪伴模式联合分娩镇痛对初产妇经阴道分娩产程及产时疼痛程度的影响[J].河南医学研究,2018,27(18):3424-3425.[5]刘静,党永妮,刘淑红.体位护理对产妇产程时长、分娩方式及妊娠结局的影响[J].贵州医药,2020,44(8):1314-1316.[6]张飞飞.分娩镇痛结合自由体位对产妇分娩结局的观察[J].罕少疾病杂志,2018,25(3):44-46.[7]杨炯兰,许尹丽,李开娟.自由体位联合分娩镇痛与传统卧位对阴道分娩结局的影响[J].微创医学,2018,13(6):799-800.[8]谢建英,蔡玉娟,钟少平,等.全程硬膜外分娩镇痛联合护理支持对产妇的影响[J].解放军护理杂志,2016,33(14):29-31.[9]樊雪梅,周春秀,刘婧岩,等.分娩镇痛联合自由体位分娩对初产妇分娩结局的影响[J].齐鲁护理杂志,2016,22(6):12-14.[10]李敬.乳头刺激联合自控式硬膜外镇痛对分娩结局影响的临床对照分析[J].医学理论与实践,2016,29(10):1348-1349.[11]桑李叶,敖健臻,丘翠凤,等.围生期综合护理干预对农村初产妇母亲角色适应的影响[J].广东医学,2016,37(15):2374-2375.[12]李一美,邵慧静,方晓红,等.第二产程延迟屏气对硬膜外分娩镇痛初产妇分娩结局的影响[J].中国护理管理,2016,16(3):319-322.[13]田玉闪,杨会义,刘雯爽,等.护理干预对硬膜外分娩镇痛中转剖宫产妊娠期高血压产妇的影响[J].河北医药,2016,38(19):3033-3036.[14]常永健,熊敏.硬膜外阻滞麻醉技术应用于无痛分娩安全有效[J].基因组学与应用生物学,2017,18(4):1418-1421.[15]杨春荣,白润芳,刘晓琴,等.初产妇足月头位未衔接胎膜早破临产前体位管理[J].中国妇产科临床杂志,2016,13(5):460-461.[16]胡杰,陈胜阳,王更富,等.舒芬太尼替代芬太尼应用于分娩镇痛的安全性分析[J].中国微创外科杂志,2017,17(7):650-652.[17]邓庆军.无痛分娩在基层医院应用的临床观察[J].现代预防医学,2016,43(23):4409-4411.[18]陶玉娟.左布比卡因联合硬膜外自控镇痛泵在分娩镇痛中的应用优势分析[J].中国地方病防治杂志,2016,31(7):781.[19]徐美芳.产程中镇痛分娩配合体位护理的临床研究[J].中国农村卫生,2020,12(24):67.

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更新日期/Last Update: 1900-01-01