出 处:《中国民康医学》2024年第5期187-189,共3页Medical Journal of Chinese People’s Health
摘 要:目的:观察不同时机应用GT-4A导乐分娩镇痛仪护理对初产妇分娩的影响。方法:选取2020年6月至2022年6月该院收治的125名初产妇进行前瞻性研究,按照随机数字表法将其分为研究组63例与对照组62例。对照组于产妇宫口开至2~3 cm时应用GT-4A导乐分娩镇痛仪护理,研究组于产妇宫口开至1 cm时应用GT-4A导乐分娩镇痛仪护理。比较两组产程(第一产程、第二产程、第三产程以及总产程)时间、产妇不同时间(第一产程潜伏期末、第一产程活跃期末、第二产程末)疼痛视觉模拟评分法(VAS)评分、自然分娩率和母婴结局[产妇产后2 h出血量、新生儿出生5 min Apgar评分、脉搏血氧饱和度(SpO_(2))]。结果:研究组第一产程、第二产程、第三产程及总产程时间均短于对照组,差异有统计学意义(P<0.05);第一产程潜伏期末、第一产程活跃期末、第二产程末,研究组产妇VAS评分均低于对照组,差异有统计学意义(P<0.05);研究组自然分娩率为71.43%,高于对照组的53.23%,差异有统计学意义(P<0.05);研究组产后2 h出血量少于对照组,差异有统计学意义(P<0.05);研究组新生儿出生5 min Apgar评分、SpO_(2)水平均高于对照组,差异有统计学意义(P<0.05)。结论:初产妇宫口开至1 cm时应用GT-4A导乐分娩镇痛仪护理可缩短产程时间,提高自然分娩率,降低VAS评分,以及改善母婴结局,效果优于初产妇宫口开至2~3 cm时应用。Objective:To observe effects of GT-4A Doula delivery analgesia apparatus nursing at different time on delivery of primiparas.Methods:A prospective study was conducted on 125 primiparas admitted to the hospital from June 2020 to June 2022.According to the random number table method,they were divided into study group(63 cases)and control group(62 cases).The control group was given GT-4A Doula delivery analgesia apparatus when the uterine orifice opened to 2-3 cm,while the study group was given GT-4A Doula delivery analgesia apparatus when the uterine orifice opened to 1 cm.The duration of labor(the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor),the pain visual analogue scale(VAS)scores at different time points(the end of the incubation period of the first stage of labor,the end of the active period of the first stage of labor,the end of the second stage of labor),the natural delivery rate,and the maternal and infant outcomes[maternal postpartum 2 h blood loss,neonatal 5 min Apgar score,pulse oxygen saturation(SpO_(2))]were compared between the two groups.Results:The time of the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At the end of the incubation period of the first stage of labor,the end of the active period of the first stage of labor,and the end of the second stage of labor,the VAS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The natural delivery rate of the study group was 71.43%,which was higher than 53.23%of the control group,and the difference was statistically significant(P<0.05).The maternal postpartum 2 h blood loss in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the neonatal 5 min Apgar score and SpO_(2) level in
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...