产房自由体位实施降低产程中胎心延长减速发生率的专案措施分析  

Analysis of Special Measures to Reduce the Incidence of Prolonged and Decelerated Fetal Heart Rate During Labor by Using Free Body Position in Delivery Room

作　　者：贺英英[1] 徐芳 曾春映[1] HE Yingying;XU Fang;ZENG Chunying(Delivery Room,Bao’an District Maternal and Child Health Hospital,Shenzhen,Guangdong,518133)

机构地区：[1]广东省深圳市宝安区妇幼保健院产房,广东深圳518133

出　　处：《智慧健康》2022年第34期127-130,共4页Smart Healthcare

摘　　要：目的研究产房自由体位实施降低产程中胎心延长减速发生率的专案措施效果。方法选择2021年3~8月于医院产房进行分娩的102例产妇。采用随机双盲对照法分为研究组51例及对照组51例。对照组开展常规产房干预,研究组则开展专案措施干预。对比两组胎心延长减速发生率、催产素使用率以及因胎儿窘迫所致的手术中转率、助产率,不良妊娠结局发生情况,干预前后分娩控制感。结果研究组胎心延长减速发生率、催产素使用率以及因胎儿窘迫所致的手术中转率、助产率均低于对照组(P<0.05)。研究组的胎儿窘迫和新生儿窒息,以及下肢麻木/疼痛发生率均较对照组更低(P<0.05)。干预后研究组及对照组的分娩控制量表(LAS)评分均高于干预前,且研究组高于对照组(P<0.05)。结论产房自由体位实施降低产程中胎心延长减速发生率的专案措施效果显著,可显著降低胎心延长减速发生率,减少胎儿窘迫、新生儿窒息及下肢麻木/疼痛的发生,改善分娩控制感。Objective To study the effect of free body position in delivery room on reducing the incidence of prolonged deceleration of fetal heart rate during labor.Methods 102 parturients who delivered in the hospital delivery room from March 2021 to August 2021 were selected.The patients were randomly divided into study group(51 cases)and control group(51 cases).The control group carried out routine delivery room intervention,while the study group carried out special intervention.The incidence of prolonged deceleration of fetal heart rate,oxytocin use rate,operation conversion rate and midwifery rate caused by fetal distress,adverse pregnancy outcome,and the sense of delivery control before and after intervention.Results the incidence of fetal heart rate prolongation and deceleration,the use of oxytocin,the conversion rate of operation due to fetal distress and the midwifery rate in the study group were lower than those in the control group(P<0.05).The incidence of fetal distress,neonatal asphyxia and lower limb numbness/pain in the study group were lower than those in the control group(P<0.05).After the intervention,the Las scores of the study group and the control group were higher than those before the intervention,and those of the study group were higher than those of the control group(P<0.05).Conclusion The implementation of free body position in the delivery room has a significant effect on reducing the incidence of prolonged fetal heart rate deceleration during labor.It can significantly reduce the incidence of prolonged fetal heart rate deceleration,reduce the incidence of fetal distress,neonatal asphyxia and lower limb numbness/pain,and improve the sense of delivery control.

关 键 词：自由体位 产程 胎心延长减速 专案措施 产房护理 

分 类 号：R473.71[医药卫生—护理学]