不同阶段实施拉玛泽分娩减痛法训练对分娩影响的研究  

Study on the effect of application of Lamaza method exercise in different stages on delivery

作　　者：应莉[1] 张琳[1] 林亚[1] 项雪芬 张征[1] 

机构地区：[1]台州市中心医院,浙江台州318000

出　　处：《护理与康复》2008年第6期403-405,407,共4页Journal of Nursing and Rehabilitation

摘　　要：目的观察不同阶段实施拉玛泽分娩减痛法训练对分娩的影响。方法将129例有自然分娩意向孕妇分入院前训练组（n=42）、待产训练组（n=45）、对照组（n=42），入院前训练组在孕7～8月进行拉玛泽分娩法训练，待产训练组在入院待产时进行拉玛泽分娩法训练，对照组则不进行拉玛泽分娩法训练。结果入院前训练组、待产训练组及对照组的第一产程、总产程时间比较，差异有统计学意义（P〈0．05）；入院前训练组、待产训练组在活跃期、第二产程的分娩疼痛程度较对照组明显减轻（P〈0．05）；入院前训练组、待产训练组产时的依从性比较，差异有统计学意义（P〈0．01）。结论不同阶段实施拉玛泽分娩减痛法训练对减轻产妇压力、降低分娩疼痛、缩短产程有明显促进作用；在孕期未接受拉玛泽分娩减痛法训练的可以在住院待产时补课，但越早进行训练依从性越好。Objective To observe the effect of Lamaza method exercise on delivery during different stages. Method Divided 129 pregnant women who intend nature delivery into group A which receives exercises before admission（ n= 42）, group B which receives exercises while waiting for delivery（n = 45） and control group（ n = 42）. The group A learns Lamaza childbearing method in 7-8 months of gestation, the group B learns the method while waiting [or delivery, and the control group doesn＇t receive it. Result There is significant difference in the first stage of labor and the total labor processes time of group A, group B and the control group （ P 〈 0.05）. Pain degrees of group A and group B are obviously reduced than that of control group in active stage and second stage of labor （P 〈 0.05）. The difference of compliances during delivery in group A and group B has significant meaning （P〈0.01）. Conclusion Application of Lamaza method in different stages can relieve women＇s stress, reduce delivery pain and shorten the labor process. Pregnant woman who didn＇ t learn Lamaza method in the pregnancy could receive intervention after admission. But the sooner the method was performed, the better the compliance would be.

关 键 词：分娩 疼痛 产程 拉玛泽减痛法 

分 类 号：R473.71[医药卫生—护理学]