产时个性化基础按摩程序对促进自然分娩的影响  

The influence of personalized basic massage process during labor on promoting the natural childbirth

作　　者：张素玮[1] 吴秋美 杜丽云[1] 麦碧荧[1] 陈颖文[1] 余艳萍[1] Zhang Suwei Wu Qiumei Du Liyun Mai Biying Chen Yingwen Yu Yanping(Obstetrical Department, Xiaolan Hospital Affiliated to Southern Medical University, Zhongshan 528415, China)

机构地区：[1]南方医科大学附属小榄医院产科,广东中山528415

出　　处：《国际护理学杂志》2016年第21期2887-2890,共4页international journal of nursing

基　　金：中山市卫计局科研项目（2015A020050）

摘　　要：目的：探讨产时个性化基础按摩程序对促进自然分娩的影响。方法选取我院产科自然分娩产妇90例，随机分为观察组和对照组各45例。观察组在传统自然分娩的基础上辅以个性化基础按摩程序；对照组按照传统自然分娩流程进行。对比分析两组孕妇产程中的疼痛评分、镇痛药物使用量、产程时间、产后出血、尿潴留、中转剖宫产率及新生儿窒息情况。结果观察组产时疼痛程度评分及镇痛药物剂量均低于对照组，第一产程及第二产程时间短于对照组，差异均有统计学意义（ P〈0.05）。观察组中转剖宫产率、尿潴留发生率均低于对照组，差异有统计学意义（ P〈0.05）。两组在产后出血量、新生儿窒息方面比较，差异均无统计学意义（ P﹥0.05）。结论产时个性化基础按摩程序有助于减轻产时疼痛，减少镇痛药物的使用，促进产程，降低中转剖宫产率，具有一定的临床应用和推广价值。Objective To expolre the influence of personalized basic massage process during labor on promo-ting the natural childbirth. Methods The clinical data of the 90 natural childbirth puerpera was retrospectively ana-lyzed. The observation group （45 cases） were given the personalized basic massage on the basis of natural childbirth, while the control group （45 cases） adopted traditional natural childbirth process. The pain score, the usage amount of analgesic, the duration of labor, the postpartum hemorrhage, the retention of urine, the transit cesarean delivery rate and the neonatal asphyxia of the pregnant women of the two groups during the labor were compared. Results The pain score and the usage amount of analgesic of the observation group during the labor was lower than that of the control group, while the first stage and the second stage of labor of the observation group was shorter than that of the control group, and the differences were statistically significant （P〈0. 05） . The rate of transit cesarean delivery and the rate of retention of urine of the observation group was lower than that of the control group, and the difference was statistically significant （ P〈0. 05 ） . There was no difference in terms of the postpartum hemmorrhage and the neonatal asphyxia be-tween the two groups （ P﹥0. 05 ） . Conclusions Personalized basic massage program during labor can help reduce pain during labor, reduce the usage amount of analgesic, promote the labor and reduce the ratio of transit ceasrean delivery, which was worthy of clinical application and promotional value to some extent.

关 键 词：自然分娩 基础按摩程序 安全性 有效性 

分 类 号：R473.71[医药卫生—护理学]