生育舞蹈对初产妇产时疼痛、产程及分娩结局的影响  

Effect of birth dance on pain during labor,labor process,and labor outcome of primipara

作　　者：周新枚 李丽 谢雪莲 王静娴 ZHOU Xin-mei;LI Li;XIE Xue-lian;WANG Jing-xian(Department of Obstetrics and Gynecology,Dongguan Integrated Traditional Chinese and Western Medicine Hospital,Dongguan 523819,Guangdong,CHINA)

机构地区：[1]东莞市中西医结合医院妇产科,广东东莞523819

出　　处：《海南医学》2024年第2期236-239,共4页Hainan Medical Journal

基　　金：广东省东莞市社会发展科技项目(编号:20211800904162)。

摘　　要：目的 探讨生育舞蹈对初产妇产时疼痛、产程及分娩结局的影响。方法 选择2022年1月至2023年3月在东莞市中西医结合医院分娩的140例初产妇为研究对象,根据随机数表法将所有产妇分为研究组和对照组,每组各70例。对照组产妇孕期行保健干预,研究组产妇在对照组的基础上行产时生育舞蹈干预。分娩后,比较两组产妇不同时间点的视觉模拟评分法(VAS)评分、总产程、产后2 h出血量、不同时间点强啡肽(DYN)水平及新生儿出生后1 min、5 min、10 min的Apgar评分。结果 镇痛前即刻,两组产妇的VAS评分比较差异无统计学意义(P>0.05);进入活跃期及宫口开全时,研究组产妇的VAS评分分别为(5.17±1.32)分、(6.43±0.64)分,明显低于对照组的(8.12±1.02)分、(8.54±0.83)分,差异均有统计学意义(P<0.05);研究组产妇的总产程、产后2 h出血量分别为(423.62±20.69) min、(213.61±25.82) m L,明显短(少)于对照组的(554.38±28.57) min、(314.76±28.71) m L,差异均有统计学意义(P<0.05);镇痛前即刻,两组产妇的DYN水平比较差异无统计学意义(P>0.05);宫口开全时,研究组产妇的DYN水平为(4.35±0.17) pg/mL,明显高于对照组的(3.08±0.18) pg/mL,差异有统计学意义(P<0.05);两组新生儿出生后1 min、5 min、10 min的Apgar评分比较差异均无统计学意义(P>0.05)。结论 生育舞蹈应用于初产妇可有效缓减产时疼痛,同时能提升DYN水平、缩短产程、减少产后出血量,具有临床推广价值。Objective To explore the effects of birth dance on pain during labor,labor process,and labor out-come of primipara.Methods A total of 140 primiparas who gave birth in Dongguan Integrated Traditional Chinese and Western Medicine Hospital from January 2022 to March 2023 were selected and divided into a study group and a control group according to random number table method,with 70 cases in each group.The control group received health care in-tervention during pregnancy,and the study group received birth dance intervention during childbirth on the basis of the control group.After delivery,Visual Analogue Scale(VAS)score,total labor course,2 h postpartum blood loss,dynor-phin(DYN)level at different time points,and Apgar scores at 1 min,5 min,and 10 min after birth were compared be-tween the two groups.Results Immediately before analgesia,there was no significant difference in VAS scores be-tween the two groups(P>0.05);at the time of entering the active phase and full opening of the cervix,the VAS scores of the study group were(5.17±1.32)points and(6.43±0.64)points,which were significantly lower than(8.12±1.02)points and(8.54±0.83)points of the control group;the differences were statistically significant(P<0.05).The total labor and 2 h postpartum blood loss in the study group were(423.62±20.69)min and(213.61±25.82)mL,which were significantly shorter/lower than(554.38±28.57)min and(314.76±28.71)mL in the control group(P<0.05).Immediately before anal-gesia,there was no significant difference in DYN level between the two groups(P>0.05);at the full opening of the cer-vix,the DYN level in the study group was(4.35±0.17)pg/mL,which was significantly higher than(3.08±0.18)pg/mL in the control group;the differences were statistically significant(P<0.05).There were no significant difference in Apgar score between the two groups at 1 min,5 min,and 10 min after birth(P>0.05).Conclusion The application of birth dance in primipara can effectively alleviate the pain during labor,improve the DYN level,shorten the labor proc

关 键 词：初产妇 分娩镇痛 生育舞蹈 视觉模拟评分法 强啡肽 产程 

分 类 号：R714.45[医药卫生—妇产科学]