体位管理联合无痛分娩对初产妇分娩结局的影响  

Effect of posture management combined with painless delivery on delivery outcome of parturients

作　　者：张吉翠[1] Zhang Jicui(Department of Obstetrics and Gynecology,The First People's Hospital of BaiyinCity,Baiyin,Gansu 730900,China)

机构地区：[1]甘肃省白银市第一人民医院妇产科,甘肃白银730900

出　　处：《医药前沿》2019年第35期19-20,共2页Journal of Frontiers of Medicine

摘　　要：目的:分析无痛分娩中联合体位管理对分娩结局的影响。方法:将白银市第一人民医院妇产科2018年207例行无痛分娩的孕产妇随机分为体位管理联合无痛分娩组(A组)和无痛分娩组(B组)。A组宫口开大3c m入待产室后,协助摆好体位,由疼痛科麻醉师行硬膜外阻滞麻醉,麻醉结束后,由助产士陪伴,给予体位管理配合产程进展,及时纠正胎位异常。B组宫口开大3c m后实施无痛分娩,在待产室常规待产。观察产妇产程时间、出血量、难产率和新生儿窒息率。结果:A组患者在分娩的过程中产程时间、难产率低于B组,两者之间具有统计学差异(P<0.05)。结论:在无痛分娩过程中有效应用体位管理,可降低剖宫产率,缩短产程。Objective To analyze the ettect of the management of painless delivey.Methods Department of obstetrics and gynecology,the First People's Hospital of Baiyin city in 2018207 routine painless delivery in accordance with body position management plus painless delivery group(group A)and painless delivery group(group B).After the uterine orifice of group A was opened for 3cm and put into the labor room,the patient was assisted in setting the position,and the pain anesthesiologist conducted epidural block anesthesia.After the anesthesia,the midwife accompanied the patient,and the position management was given to coordinate with the progress of labor,so as to timely correct the abnormal fetal position.Group B performed painless labor after the uterine orifice was opened for 3cm,and routine labor was performed in the labor room.The duration of labor,blood loss,dystocia and neonatal asphyxia were observed.ResultsThe rate of dystocia and neonatal asphyxia was lower in group A than in group B,and there were statistical differences between the two groups(P<0.05).Conclusion The effective application of position management in the painless labor process can effectively reduce the birth rate and shorten the labor process.

关 键 词：体位管理 无痛分娩 分娩结局 影响 

分 类 号：R714.3[医药卫生—妇产科学]