自由体位联合芳香疗法对初产妇自然分娩产程进展与分娩结局的影响  

Effect of free position combined with aromatherapy on the progression of labour and delivery outcome of ffrst-time mothers in natural childbirth

作　　者：刘凤琴 韦海兰[1] 魏榕[1] 毛婧霞 魏菲[1] LIU Fengqin;WEI Hailan;WEI Rong;MAO Jingxia;WEI Fei(Nanning First People's Hospital,Nanning 530022,China)

机构地区：[1]南宁市第一人民医院,广西壮族自治区南宁市530022

出　　处：《护理实践与研究》2024年第2期299-303,共5页Nursing Practice and Research

基　　金：广西壮族自治区卫生和计划生育委员会科研课题(编号:Z2016142);南宁市青秀区科技计划项目(编号:2019040)。

摘　　要：目的探讨自由体位联合芳香疗法对初产妇自然分娩产痛、产程时间及结局的影响。方法选择2020年7月—2021年2月医院收治的100例初产妇为研究对象,按照组间基线资料均衡可比的原则分为对照组和观察组,各50例。对照组给予常规产程观察护理,观察组在常规护理基础上予以芳香疗法。比较两组疼痛评分、药物分娩镇痛率、产程时长、分娩方式、产后2 h阴道出血量、会阴损伤情况、新生儿窒息率等指标,评价芳香疗法的效果。结果观察组产妇疼痛分值及药物分娩镇痛率与对照组无差异(P>0.05);观察组第一产程、总产程时长短于对照组,差异有统计学意义(P<0.05),第二产程时长差异无统计学意义(P>0.05);观察组会阴裂伤程度较对照组轻,差异有统计学意义(P<0.05);新生儿窒息率、产后2 h阴道出血量、阴道分娩率,两组比较差异无统计学意义(P>0.05)。结论自由体位联合芳香疗法能减轻初产妇疼痛,减少药物分娩镇痛的使用,缩短产程。Objective To explore the effects of free position combined with aromatherapy on labour pain,labour duration and outcome of natural labour in primigravid women.Methods 100 cases of primigravid women admitted to the hospital from July 2020 to February 2021 were selected for the study,they were divided into a control group and an observation group of 50 cases each according to the principle of comparable baseline data between groups.The control group was given routine labour observation care,the observation group was given aromatherapy on the basis of routine care.The two groups were compared in terms of pain score,analgesia rate,duration of labour,perineum condition,vaginal bleeding 2 h after delivery,way of delivery,neonatal asphyxia rate and other indicators,and the effect of aromatherapy was evaluated.Results To compare with the control group,the maternal pain score and the rate of using medication for labour analgesia in the observation group,the differences were not statistically signiffcant(P>0.05).The first stage of labour and the total duration of labour in the observation group were shorter than those in the control group,and the differences were statistically signiffcant(P<0.05).The difference of second stage of labour were not statistically significant(P>0.05).The severity of perineal injuries in the observation group was less serious than that of the control group,and the differences were statistically signiffcant(P<0.05).The rate of asphyxiation of neonates,neonatal asphyxia rate,vaginal haemorrhage 2 h after delivery were all lower than that of the control group,and the rate of vaginal delivery were not statistically significant(P>0.05).Conclusion Free position combined with aromatherapy can reduce the pain of primigravid women,reduce the use of medication for labour analgesia,shorten the duration of labour and promote natural childbirth.

关 键 词：芳香疗法 自然分娩 分娩镇痛 产程 分娩结局 

分 类 号：R473.71[医药卫生—护理学]