拉玛泽减痛分娩法在初产妇中的应用效果  

作　　者：赵珊[1] 肖琴[1] 赖春蓉[1] 卢亘华[1] 

机构地区：[1]广东省茂名市妇幼保健院妇产科,525000

出　　处：《国际护理学杂志》2013年第2期242-245,共4页international journal of nursing

摘　　要：目的探讨拉玛泽减痛分娩法在初产妇分娩中的应用效果。方法选取初产妇225例作为对照组，在孕7～9个月不接受拉玛泽减痛分娩法训练，分娩时实施常规护理，并采用导乐陪伴；观察组361例，在孕7～9个月接受拉玛泽减痛分娩法训练，分娩时除导乐陪伴外，严格执行拉玛泽减痛分娩法技术规范。比较两组阴道分娩产程时间、分娩方式、分娩疼痛分级。结果两组第一产程、总产程时间差异均有统计学意义（P〈0．01）；分娩方式中顺产、剖宫产差异均有统计学意义（P〈0．01）；疼痛分级中0～3级差异均有统计学意义（P〈0．01）。结论拉玛泽减痛分娩法应用于初产妇，可以缩短产程时间，有利于促进自然分娩，有效地减轻分娩疼痛程度，值得产科临床优先应用。Objective To discuss the effect of Lamaze pain-relieving delivery method on the primipara.Methods A total of 225cases primiparas were selected in the control group,in which the pregnant women were not carried out the Lamaze pain-relieving training and received regular nursing and at the same time were quipped with music guide during the labor period.A total of 361 primiparas were selected in the observation group,in which the pregnant women were carried out the Lamaze pain-relieving training when they had been pregnant for 7 to 9 months and besides the music guide,the technical standards for Lamaze childbirth method were strictly implemented.The delivery periods,labor ways and degrees of labor pain of vaginal birth in two groups were compared.Results The differences of first delivery process and total delivery process in two groups had statistical significance (P ＜ 0.01).The differences between the natural labor and caesarean birth had statistical significance (P ＜0.01).Among the pain grading,the differences in the grades from 0 to 3 had statistical significance (P ＜ 0.01).Conclusions The application of Lamaze childbirth method on the primipara could shorten the delivery process,relieve the degree of labor pain and strongly facilitate the natural labor,which is a valuable delivery method for the clinically preferential application.

关 键 词：拉玛泽减痛分娩法 初产妇 疼痛分级 分娩方式 产程时间 

分 类 号：R473.71[医药卫生—护理学]