孕妇生产过程中坐位体位指导的应用效果研究  

Study of application effects of sitting-position guidance in delivery process of pregnant women

作　　者：颜华英[1] 孙香玲[1] 范如珍[1] 应绍红 

机构地区：[1]浙江省永康市妇幼保健院,浙江永康321300

出　　处：《中国现代医生》2015年第6期125-128,共4页China Modern Doctor

基　　金：浙江省医药卫生科研项目(2013KYB284)

摘　　要：目的探讨孕妇生产过程中坐位体位指导的临床应用效果。方法选取2013年1月-2014年2月我院产科住院分娩的228例孕妇为研究对象,按住院号随机将其分为对照组和研究组,每组114例,对照组采用常规平卧位或侧卧位分娩姿势,研究组采用坐位分娩姿势,观察两组患者总产程时间、第二产程时间、产后出血、会阴情况、产妇舒适度和满意度、住院时间等,以此探讨坐位体位指导在孕妇生产过程中的临床效果。结果研究组和对照组产后出血量、总产程、第二产程及住院时间比较,差异无统计学意义（P〉0.05）;研究组会阴侧切率为15.45%,明显低于对照组的36.94%,差异有统计学意义（χ^2=13.1722,P=0.0003）;研究组产后会阴水肿少于对照组,但差异无统计学意义（χ^2=0.1010,P=0.7506）;研究组患者满意度为84.55%,高于对照组的75.68%,但差异无统计学意义（χ^2=2.7259,P=0.0987）;研究组产妇舒适度为78.18%,明显高于对照组的35.14%,差异有统计学意义（χ^2=41.6683,P=0.0000）。结论坐位体位是一种行之有效的生产体位,能提高患者满意度,有助于母婴健康,值得在临床中借鉴应用。Objective To investigate the clinical application effects of sitting-position guidance in the delivery process of pregnant women. Methods A total of 228 pregnant women who delivered in the obstetrical department of our hospital from January 2013 to February 2014 were selected as the study subjects and randomly divided into the control group and the study group according to the admission number, with 114 patients in each group. The control group used conventional horizontal-position or lateral-position delivery posture and the study group used sitting-position delivery posture. The time of total labor stage, time of second labor stage, postpartum hemorrhage, perineum situation, maternal comfort level and satisfaction degree, length of hospital stay, etc. of the two groups were observed in order to explore the clinical effects of sitting-position guidance in the delivery process. Results The study group and the control group had no significantly differences in postpartum hemorrhage, time of total labor stage, time of second labor stage and length of hospital stay（P0.05）; The episiotomy rate of the study group was 15.45%, which was significantly lower than the 36.94% of the control group, with statistically significant difference（χ^2=13.1722, P=0.0003）; The rate of postpartum perineal edema in the study group was less than the control group, but had no statistical significance（χ^2=0.1010,P=0.7506）. The rate of the patients＇ satisfaction in the study group was 84.55%, was higher than the control group（75.68%）, but had no statistical significance（χ^2=2.7259, P =0.0987）. The maternal comfort level of the study group was 78.18%, which was significantly higher than the 35.14% of the control group, with statistically significant difference（χ^2=41.6683, P=0.0000）. Conclusion Sitting-position is an effective delivery position, can improve the satisfaction and is conducive to maternal and child health, thereby worthy of clinical reference and application.

关 键 词：孕妇 生产过程 坐位体位 

分 类 号：R714.3[医药卫生—妇产科学]