孕期体重管理联合减痛法对妊娠结局与产程的影响  

Effect of weight management during pregnancy on pregnancy outcome and labor process

作　　者：张淑清[1] 陈蔚瑜[1] 李光仪[1] ZHANG Shu-qing CHEN Wei-yu LI Guang-yi(Department of Obstetrics and Gynecology, the first people＇s Hospital of Foshan, Guangdong foshan 528000, Chin)

机构地区：[1]广东省佛山市第一人民医院妇产科,广东佛山528000

出　　处：《中国医刊》2016年第10期77-79,共3页Chinese Journal of Medicine

摘　　要：目的探讨孕期体重管理联合减痛法对妊娠结局与产程的影响。方法以2014年3月至2015年6月在本院接受产检的200例产妇为观察对象。根据随机数字表法将其分为对照组和研究组,对照组给予常规指导和护理,研究组给予体重管理和减痛法。观察两组产妇的妊娠结局,比较两组产妇产程、出血量及新生儿结局的差异。结果研究组产妇正常分娩率为96.00%,明显高于对照组(81.00%),差异具有显著性(P<0.05);研究组产妇第一产程、第二产程及第三产程时间分别为(514.34±7.89)分钟、(33.15±2.43)分钟和(10.89±2.97)分钟,均短于对照组,并且视觉疼痛模拟评分法得分也低于对照组,差异具有显著性(P<0.05);研究组分娩后24小时内出血量为(238.44±15.48)ml,明显低于对照组,差异具有显著性(P<0.05);两组新生儿吸入性肺炎和颅内出血发生率以及产妇分娩后1分钟和5分钟的Apgar评分经比较差异无显著性(P>0.05)。结论孕期体重管理联合减痛法可明显提高产妇的正常分娩率,缩短产程、减轻产妇痛苦,具有较高的临床应用价值。ObjectiveTo investigate the effects of weight management during pregnancy on pregnancy outcome and labor process.Method 200 cases of pregnant women treated in our hospital from March 2014 to June 2015 were selected as the observation object. According to the random number table, which were divided into the control group and the study group. The control group was given routine instruction and nursing, and the study group was given weight management and pain reduction. Two groups of maternal pregnancy outcome were observed, and the difference of the birth process, the amount of bleeding and the neonatal outcome of the two groups were compared. ResultThe normal delivery rate of the study group was 96%, significantly higher than that of the control group （81%）, the difference was statistically significant （P〈0.05）. The maternal labor, the second stage of observation group of labor and duration were （514.34±7.89） min, （33.15±2.43） min and （10.89±2.97） min, were shorter than those of the control group, the VAS score lower than control group, the difference has statistical significance （P〈0.05）. In the study group, the amount of bleeding after delivery in 24h was （238.44±15.48） ml, which was significantly higher than that in the control group, the difference was statistically significant （P〈0.05）; the study group of neonatal aspiration pneumonia and intracranial hemorrhage rate had no significant difference, and the two groups of maternal 1min and 5min Apgar score had no significant difference （P〉0.05）.ConclusionGestational weight management combined with pain reduction method can significantly improve the normal labor rate, shorten the labor process, reduce maternal pain, and has a high clinical value.

关 键 词：体重管理 减痛 妊娠 产程 

分 类 号：R473.71[医药卫生—护理学]