豆袋热敷应用于分娩镇痛的效果  

Effect of the labor analgesic used beans.hot packing

作　　者：徐敏[1] 刘悦新[2] 肖美玲[1] 关桂梅[2] 

机构地区：[1]中山大学附属第一医院门诊11楼妇产科产房,广州510080 [2]中山大学附属第一医院妇产科办公室,广州510080

出　　处：《中华现代护理杂志》2011年第31期3758-3760,共3页Chinese Journal of Modern Nursing

摘　　要：目的分析豆袋热敷应用于分娩镇痛的II缶床疗效。方法选择产房阴道试产的足月妊娠产妇120例，随机分为观察组和对照组各60例。观察组在分娩过程中用豆袋热敷；对照组在分娩过程中无任何镇痛处理，比较观察组产妇豆袋热敷前后的疼痛评分和两组产妇第一产程、第二产程的时间。结果观察组产妇豆袋热敷后疼痛评分低于热敷前，差异具有统计学意义（χ2=8．472，P〈0．05）。观察组的第一产程、第二产程分别为（8．35±0．63）h、（0．97±0．16）h，明显短于对照组的（11．26±0．7）h、（1．26±0．17）h，差异均有统计学意义（t分别为-12．958，-40．116；P〈0．05）。观察组顺产率为95％，高于对照组的81．6％，差异具有统计学意义（χ2=6．24，P〈0．05）。结论豆袋热敷能明显减轻分娩疼痛，并缩短产妇第一产程和第二产程，降低阴道助产及剖宫产率。Objective To analyze the labor analgesic effects of beans-hot packing. Methods 120 vaginal delivery women accepted by our delivery room from May to September 2010 were randomly divided into 2 groups （observed and control team）, 60 each. The observed team used beans-hot packs to release pain, while the control team volunteered no analgesic measurements. The pain scores and duration of the first and second stage of laboring for both teams were compared to see the analgesic effect of beans-hot packing. Results Pain score of observed team after using beans-hot packing was lower than that before using beans-hot packing （ X2 = 8. 472, P 〈 0. 05 ）. The first stage score （8.35 ±0.63）h, and second stage score （0.97 ± 0.16）h in observed team were lower than those in control team [ （11.26 ± 0.7 ）h in first stage and （1.26 ± 0. 17）h in second stage ], and the difference was significant （ t = - 12.958, - 40. 116 ; P 〈 0. 01 ）. Natural delivery rate in observed team was 95% and higher than 81.6% of control group （χ2= 6.24, P 〈 0. 05）. Conclusions Beans-hot packing had positive laboring analgesic effects and could shorten the duration of the first and second labor stage.

关 键 词：分娩 热敷 按摩 豆袋 

分 类 号：R714.3[医药卫生—妇产科学]