综合护理干预对无痛分娩产妇产后出血和新生儿窒息发生率的影响  

The eff ect of comprehensive nursing intervention on the incidence of postpartum hemorrhage and neonatal asphyxia in women with painless delivery

作　　者：邱凤连 黎春华 陈绮萍 Qiu Fenglian;Li Chunhua;Chen Qiping(Department of Obstetrics,Gaozhou Hospital of Traditional Chinese Medicine,Maoming 525200,China)

机构地区：[1]高州市中医院产科,广东茂名525200

出　　处：《实用妇科内分泌电子杂志》2021年第5期65-67,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析综合护理干预对无痛分娩产妇产后出血发生率、新生儿窒息的影响。方法选取96例无痛分娩产妇,采用随机数字表法分为对照组与观察组,每组48例。对照组采用传统护理干预,观察组在对照组基础上采用综合护理干预,对比两组产妇产程时间、分娩方式及产后并发症发生情况。结果观察组第一、第二产程时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组剖宫产率(14.58%)明显低于对照组(41.67%),经阴道分娩率(85.42%)明显高于对照组(58.33%),差异有统计学意义(P<0.05)。观察组产后出血发生率2.08%、新生儿窒息发生率0、胎儿宫内窘迫发生率0、软产道损伤率发生率2.08%,均明显低于对照组的14.58%、10.42%、12.50%、16.67%,差异有统计学意义(P<0.05)。结论综合护理干预可有效缩短无痛分娩产妇产程,提高阴道分娩率,降低产后出血、新生儿窒息等发生率,值得临床借鉴。Objective To analyze the effect of comprehensive nursing intervention on the incidence of postpartum hemorrhage and neonatal asphyxia in the parturient women with painless delivery.Methods Ninety-six cases of painless parturient were divided into control group and observation group by random number table method,48 cases in each group.The control group was treated with traditional nursing intervention,and the observation group was treated with comprehensive nursing intervention on the basis of the control group.The time of labor process,delivery mode and the incidence of postpartum complications were compared between the two groups.Results The time of the fi rst and second stage of labor in the observation group was signifi cantly shorter than that in the control group,the difference was statistically significant(P<0.05).The rate of cesarean section in the observation group(14.58%)was signifi cantly lower than that in the control group(41.67%),and the rate of vaginal delivery in the observation group(85.42%)was signifi cantly higher than that in the control group(58.33%),with statistical signifi cance(P<0.05).The incidence of postpartum hemorrhage,neonatal asphyxia,fetal distress and soft birth canal injury in the observation group were 2.08%,0,0 and 2.08%,which were signifi cantly lower than those in the control group14.58%,10.42%,12.50% and 16.67%,the differences were statistically signifi cant(P<0.05).Conclusion Comprehensive nursing intervention can effectively shorten the labor process of painless delivery women,improve the rate of vaginal delivery,reduce the incidence of postpartum hemorrhage,neonatal asphyxia and so on,which is worthy of clinical reference.

关 键 词：综合护理干预 无痛分娩 产后出血 新生儿窒息 

分 类 号：R473.71[医药卫生—护理学]