产程中不同体位与运动对分娩结局的影响  

Clinical research on impacts of different postures and movement on birth outcomes

作　　者：罗琳虹[1] 郭实贤[1] 郑巧丽[1] 

机构地区：[1]汕头大学医学院第一附属医院产科,广东汕头515041

出　　处：《中国计划生育和妇产科》2015年第12期30-32,共3页Chinese Journal of Family Planning & Gynecotokology

基　　金：汕头市科学技术局资助项目(项目编号:201462-5)

摘　　要：目的研究产程中不同的体位和运动对分娩结局的影响。方法选取汕头大学医学院第一附属医院产科2013年7月至2014年12月收治的160名产妇的临床资料,按照产程中不同的体位和运动方式分为干预组(自主体位分娩80名)和对照组(传统体位分娩80名),比较两组新生儿出生Apgar评分、分娩结局、产后2 h出血量、产程及分娩疼痛评分等。结果干预组产妇的自然分娩率、剖宫产率、会阴侧切率(分别为86.25%、6.25%、8.75%)与对照组(分别为68.75%、16.25%、20%)相比,差异有统计学意义(P<0.05)。两组各产程、新生儿出生3 min Apgar评分、分娩疼痛VAS评分、产后2 h出血量等指标比较差异有统计学意义(P<0.05)。结论自主体位在临床产科的使用更贴近产妇心理和生理,有效提高产妇自然分娩率,降低出血量,缩短产程,同时减轻分娩疼痛。Objective To investigate the impacts of different postures and movements on birth outcomes. Methods A total of160 cases of puerperal women selected during the period from July 2013 to December 2014 in The First Affiliated Hospital of Shantou University Medical College were selected as observation subjects. These puerperal women were divided into the intervention group（ 80 cases subject to active position delivery） and the control group（ 80 cases subject to traditional position delivery） according to different postures and movements in stages of labor,and 3min Apgar score,delivery end,2 hour postpartum bleeding amount,stage of labor and delivery pain score of newborns in two groups were compared and analyzed. Results The differences in natural delivery rate,cesarean section rate and rate of lateral episiotom of puerpera in the intervention group（ 86. 25 %,6. 25 % and 8. 75 % respectively）were statistically significant when compared to those indexes of puerera in the control group（ 68. 75 %,16. 25 % and 20 %respectively）（P〈0. 05）. The differences in the labor stage,Apgar score in 3 minutes after the birth of newborns,delivery pain VAS score and bleeding amount,bleeding amount in 2 hour after delivery and other indexes of patients in two groups were statistically significant（P〈0. 05）,and the differences were significant. Conclusion The service of active position in clinical obstetrics is closer to the psychology and physiology of puerpera,it effectively enhances natural parturition rate of puerperal,reduces bleeding amount,shortens the stage of labor,and relieves labor pain,and it is commended to be treated safe and reliable delivery way in clinical promotion.

关 键 词：自主体位 传统体位 分娩结局 临床研究 

分 类 号：R714.3[医药卫生—妇产科学]