孕期体重管理联合减痛法对妊娠结局及产程的影响  

作　　者：余利红[1] 沈国梅[1] 徐霞萍[1] 

机构地区：[1]杭州市萧山区第一人民医院,311201

出　　处：《浙江临床医学》2018年第2期363-364,共2页Zhejiang Clinical Medical Journal

摘　　要：目的观察孕期体重管理联合减痛法对妊娠结局及产程的影响。方法纳A．2014年9月至2016年9月接收的86例产妇，依据随机数表法分为观察组（体重管理联合减痛法）与对照组（传统护理），每组各43例，比较两组妊娠结局及产程变化。结果妊娠结局比较：观察组自然分娩率及阴道分娩会阴I度裂伤率均较对照组高，且剖宫产率、会阴侧切率较对照组低，差异均有统计学意义（P〈0．05）；两组产钳助产率及阴道分娩会阴Ⅱ度裂伤率比较，差异无统计学意义（P〉O．05）；分娩后24h内，观察组产后出血量较对照组低。差异有统计学意义（P〈0．05）；产程比较：观察组第一、二产程及总产程时间均短于对照组，差异有统计学意义（P〈0．05），而两组第三产程时间比较差异无统计学意义（P〉0．05）。结论孕期体重管理联合减痛法对妊娠结局及产程具有一定影响，能促使产程缩短、剖宫产及产钳助产率下降、产后出血减少，值得临床借鉴。Objective To observe the effect of weight management combined with pain reduction on pregnancy outcome and birth process. Methods 86 patients received in our hospital from September 2014 to September 2016 were enrolledas the objectives, who were divided into observation group （ weight management joint pain reduction method ） in 43 cases and control group （ conventional nursing ） in 43 cases, and two groups of pregnancy and birth process changes were compared. Results Comparison of pregnancy outcome： The rate of natural childbirth and vaginal delivery of perineal laceration rate in observation group is higher than that in the control group, and the rate of cesarean section, perineotomy rate is lower than that in the control group. The differences were statistically significant （ P〈0.05 ） ; two groups of forceps delivery rate and vaginal delivery rate of perineal laceration were found with no statistically significance difference （P〉0.05） ; 24h after delivery, the amount of postpartum hemorrhage in the observation group is lower than that in the control group, the difference was statistically significant （ P〈0.05 ） ; Comparison of birth process： The first and total stage of birth time in observation group were shorter than those in the control group, and the differences were statistically significant （ P〈0.05 ） , but the difference third labor time of t between wo groups was not statistically significant the （ P〉0.05 ） . Conclusion Pregnancy weight management joint pain reduction method has a certain influence on the outcome of pregnancy and childbirth. It shortens the birth process, reduces cesarean section and forceps delivery rate, postpartum hemorrhage, which shows the worth of clinical reference.

关 键 词：孕期 体重管理 减痛法 妊娠结局 产程 

分 类 号：R714.3[医药卫生—妇产科学]