探讨产时体位护理对产程的影响  

Probe into the impact postural care on of the birth process

作　　者：李丽容[1] 

机构地区：[1]广东省惠州市中心人民医院产科,516001

出　　处：《护理实践与研究》2010年第2期9-11,共3页Nursing Practice and Research

摘　　要：目的:探讨对临产后孕妇实施体位护理对产程的影响。方法:选择住院分娩的单胎头位、骨盆径线正常、孕龄37～42周、无妊娠并发症及合并症的初产妇200例,将其随机分为观察组与对照组各100例。观察组在第一产程潜伏期通过四步触诊,B超确定胎背方向,指导孕妇取胎背对侧的侧卧位,活跃期指导孕妇取坐位、半坐位、站立位;宫口开全进入第二产程后取半卧位分娩(产床靠背摇高45°～60°,双足蹬于产床腿架上,产妇大腿向上极度屈曲,并紧靠腹部,小腿充分外展,指导正确运用腹压);对照组不做体位指导,取自由体位,第二产程取膀胱截石位至胎儿娩出。结果:观察组第一产程、第二产程时间短于对照组(P<0.05);剖宫产率低于对照组(P<0.05);阴道分娩产后2h内出血(>300ml)、新生儿窒息等方面无明显差异(P>0.05)。结论:产时体位护理可加速产程进展,促进自然分娩,降低头位难产及剖宫产,促进母婴健康。Objective：Discussion the effect of labor in pregnant women after the implementation of nursing position on stage of labor. Methods：Chsen single-hospital delivery of fetal head position,pelvis diameter line normal,gestational age 37-42 weeks,no pregnancy complications and maternal complications of 200 cases of early,the 200 cases were randomly divided into control group and observation group 100 cases in each group. Observation group in the first stage of labor through the four-step incubation period palpation,B-back to determine the direction of the guidance of child births in pregnant women from the contralateral dorsal lateral position; active guidance from sitting,half-sitting,stand up; Palace mouth open wide to the second stage of labor semi-supine,after taking delivery （high-capacity roll back bed 45°-60 °,feet kicking in the middle leg bed frame,maternal great legs buckling up,and close to the abdomen,legs fully outreach to guide the correct use of abdominal pressure ）.Postural control group without a guide,take a free position; second stage lithotomy position from the bladder to the fetus delivery. Results：The two groups in the first stage of labor,and the second stage of labor time,compared with cesarean section rate,there was significant difference （P 〈0.05）,vaginal delivery 2 h post-partum hemorrhage volume（〉300 ml）,neonatal asphyxia,such as no significant difference （P〉0.05）. Conclusion：Care at the middle position to accelerate the progress of labor,the promotion of natural childbirth,the first place to reduce dystocia and cesarean section,maternal and child health benefit.

关 键 词：产程 体位护理 影响 

分 类 号：R473.71[医药卫生—护理学]