拉玛泽呼吸减痛分娩法对产妇分娩疼痛及妊娠结局的影响  

The Effect of Pain and Pregnancy Outcomes of Lamaze Breathing During Clildbirth

作　　者：侯英英[1] 刘晓云[1] 

机构地区：[1]贵州省遵义市第一人民医院,贵州遵义563000

出　　处：《河北医学》2015年第5期757-761,共5页Hebei Medicine

基　　金：贵州省遵义市科技局技研发资金项目;(编号:遵市科合社字<2012>9号)

摘　　要：目的:探讨拉玛泽呼吸减痛分娩法对产妇分娩疼痛及妊娠结局的影响。方法:选取2012年8月至2014年1月在本院产检建卡的初产妇400例为研究对象,随机将产妇分为观察组及对照组,观察组产前接受拉玛泽分娩法学习,对照组产前行常规健康教育,并于分娩前后应用焦虑自评表(SAS)以及抑郁自评表(SDS)对两组患者心理状况进行评价,对比分析两组分娩疼痛程度、产程进展、分娩方式、APgar评分、产后出血、产后泌乳量、血性恶露持续时间。结果:与护理前相比,观察组护理后SAS、SDS评分显著下降(P<0.05),而对照组护理前后SAS、SDS评分无变化(P>0.05)。观察组分娩疼痛等级、新生儿APgar评分等级与对照组相比,差异有统计学意义(P<0.05)。观察组剖宫产率、产后出血率显著低于对照组,第1产程、第2产程、总产程及血性恶露持续时间显著少于对照组,产后泌乳量与对照组相比增多,差异有统计学意义(P<0.05)。结论:产前运用拉玛泽呼吸减痛分娩法对产妇进行护理能有效缓解产妇焦虑情绪,减轻产妇分娩疼痛,缩短分娩时间,降低剖宫产率。Objective： To investigate the effect of less pain and pregnancy outcome of lamaze breathing during childbirth. Method： 400 cases of women were randomly divided into observation group and control group from August 2012 to January 2014.The observation group were received prenatal learning lamaze childbirth.The control group were received routine antenatal sexual health education.The application of anxiety before and after childbirth self-assessment form（ SAS） and self-Rating Depression sheet（ SDS） on the psychological status of patients were evaluated,and analyzed two groups of labor pain,labor progress,mode of delivery,APgar score,postpartum hemorrhage,postpartum lactation,bloody lochia duration. Result： Compared with before treatment,the observation group after care SAS,SDS scores were significantly decreased（ P〈0.05）,while the control group before and after nursing SAS,SDS score did not change（ P〉0.05）. Labor pain observation group level,neonatal APgar rating scale,compared with the control group,the difference was statistically significant（ P〈0. 05）. Observation group rate of cesarean section,postpartum hemorrhage was significantly lower than the control group,the first stage of labor,the second stage of labor,the total production process and bloody lochia duration was significantly less than the control group,postpartum lactation increased compared with the control group,the difference was statistically significance（ P〈0.05）.Conclusion： Prenatal use lamaze breathing on maternal childbirth to reduce pain in nursing mothers can effectively relieve anxiety,reduce maternal childbirth pain,shorten delivery time,reduce the rate of cesarean section.

关 键 词：拉玛泽 呼吸减痛分娩法 疼痛 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]