催产素静脉滴注介入导乐陪产与分娩护理的效果观察  

Observation on the effect of oxytocin intravenous drip intervention in Doula accompanying delivery and delivery nursing

作　　者：蒋莉玲 黄敏瑜 黄梅娟 林丽凤 周玉玲 JIANG Li-ling;HUANG Min-yu;HUANG Mei-juan(Department of Obstetrics, Guangdong Xinxing County People’s Hospital, Yunfu 527400, China)

机构地区：[1]广东省新兴县人民医院产科,527400

出　　处：《中国现代药物应用》2019年第3期170-172,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨催产素静脉滴注介入导乐陪产与分娩护理对分娩质量的影响。方法 200例行催产素静脉滴注的产妇作为研究对象,随机分为对照组及观察组,各100例。对照组给予常规分娩护理干预,观察组在对照组基础上增加导乐陪产。比较两组产程时间、疼痛程度、分娩方式及新生儿窒息情况。结果观察组第一产程、第二产程、总产程时间均短于对照组,疼痛程度评分低于对照组,差异均具有统计学意义(t=7.37、11.08、8.03、7.42, P<0.05)。两组第三产程时间比较,差异无统计学意义(t=1.16,P>0.05)。两组分娩方式比较,差异具有统计学意义(X^2=19.86, P<0.05)。观察组顺产率高于对照组,剖宫产率及胎头吸引助产率低于对照组,差异均具有统计学意义(X^2=19.78、8.00、7.69, P<0.05)。观察组新生儿窒息发生率为3.0%,显著低于对照组11.0%,差异具有统计学意义(P<0.05)。结论对行催产素静脉滴注的产妇实施分娩护理干预并介入导乐陪产利于缩短产程时间,保证自然分娩,且可减轻产妇的疼痛程度,尤其可减少新生儿窒息发生情况,应用价值较高。Objective To discuss the effect of oxytocin intravenous drip intervention in Doula accompanying delivery and delivery nursing. Methods A total of 200 maternal women with oxytocin intravenous drip as study subjects were randomly divided into control group and observation group, with 100 cases in each group. The control group received conventional nursing intervention, and the observation group received Doula delivery on the basis of the control group. Comparison were made on time of labor, degree of pain, mode of deliveryand neonatal asphyxia between the two groups. Results The observation group had shorter first stage of labor,second stage of labor, total stage of labor time than the control group, and lower pain degree score than the control group. Their difference was statistically significant(t=7.37, 11.08, 8.03, 7.42, P<0.05). Both groups had no statistically significant difference in third stage of labor(t=1.16, P>0.05). Both groups had statistically significant difference in mode of delivery(X^2=19.86, P<0.05). The observation group had higher spontaneous labor rate than the control group, and lower cesarean section rate and fetal head attraction rate than the control group. Their difference was statistically significant(X^2=19.78, 8.00, 7.69, P<0.05). The observation group had significantly lower incidence of neonatal asphyxia as 3.0% than 11.0% in the control group, and the difference was statistically significant(P<0.05). Conclusion The implementation of delivery nursing intervention and intervention of Doula accompanying delivery for parturients who received oxytocin intravenous drip can shorten the duration of labor, ensure natural delivery, and alleviate the pain of parturients, especially reduce the occurrence of neonatal asphyxia. It has high application value.

关 键 词：催产素 导乐陪产 分娩质量 

分 类 号：R473.71[医药卫生—护理学]