分娩球联合自由体位改善初产妇妊娠体验及结局的研究  

Study on Improving Pregnancy Experience and Outcome of Primipara by Delivery Ball Combined With Free Position

作　　者：陈巧丽 王静珊 CHEN Qiaoli;WANG Jingshan(Department of Obstetrics,Quanzhou First Hospital,Quanzhou Fujian 362000,China)

机构地区：[1]泉州市第一医院产科,福建泉州362000

出　　处：《中国卫生标准管理》2024年第11期22-25,共4页China Health Standard Management

摘　　要：目的探讨对初产妇联合应用分娩球与自由体位的临床价值,并分析联合干预对产妇疼痛感、分娩控制感以及妊娠结局的影响。方法选择2021年8月—2022年10月泉州市第一医院产科分娩的102例初产妇设为研究对象,并依托信封法将入组患者随机分为研究组与对照组。对照组患者接受常规围产期干预,研究组产妇开展分娩球配合自由体位助产。对比2组产妇产后2 h出血量、第一产程、第二产程、第三产程时间差异,使用麦吉尔疼痛问卷(McGill pain questionnaire short-form,MPQ)评估2组产妇产痛得分差异,使用分娩控制量表评估2组产妇分娩控制感差异,对比2组产妇不良分娩结局差异。结果研究组产妇的产后2 h出血量、第一产程、第二产程以及第三产程分别为(180.23±20.98)mL、(400.92±121.89)min、(35.28±10.12)min、(5.10±1.21)min,低于对照组的(205.23±23.19)mL、(513.18±132.11)min、(41.89±11.23)min和(6.18±1.54)min(P<0.05)。研究组产妇的视觉模拟量表评分、言语反应量表评分以及疼痛强度量表评分分别为(6.23±1.32)分、(20.01±6.23)分、(2.32±0.56)分,低于对照组的(7.13±1.56)分、(25.63±5.18)分和(3.01±0.96)分(P<0.05)。研究组产妇的分娩控制感得分为(165.86±20.16)分,显著高于对照组的(146.35±16.89)分(t=12.516,P<0.001)。研究组产妇不良分娩结局中胎心减速以及胎儿窒息发生率均低于对照组产妇(P<0.05),2组分娩后5 min Apgar评分比较,差异无统计学意义(P>0.05)。结论将分娩球配合自由体位助产使用于初产妇群体中,效果确切,在降低产妇疼痛感、提高产妇分娩控制感以及降低不良妊娠发生率上具有明确效果,存在较好的临床应用前景。Objective To explore the clinical value of combined application of delivery ball and free posture for primiparas,and analyze the influence of combined intervention on maternal pain,sense of delivery control and pregnancy outcome.Methods A total of 102 primiparas who delivered from August 2021 to October 2022 in the department of obstetrics,Quanzhou First Hospital were choosed and seted as the research object,and randomly divide the patients into the study group and the control group by envelope method.The patients in the control group received routine perinatal intervention,and the women in the study group carried out delivery ball with free posture midwifery.Two groups of puerperal bleeding volume,the time difference of the first stage of labor,the second stage of labor and the third stage of labor were compared.The difference of parturient pain score between the two groups was evaluated by McGill pain questionnaire short-form(MPQ),and the difference of parturient control sense between the two groups was evaluated by the delivery control scale,and the difference of adverse delivery outcome between the two groups were compared.Results The amount of postpartum hemorrhage,the first stage of labor,the second stage of labor and the third stage of labor in the study group were(180.23±20.98)mL,(400.92±121.89)min,(35.28±10.12)min and(5.10±1.21)min respectively,which were lower than those in the control group of(205.23±23.19)mL、(513.18±132.11)min、(41.89±11.23)min and(6.18±1.54)min(P<0.05).The scores of visual analogue scale,speech response scale and pain intensity scale in the study group were(6.23±1.32)points,(20.01±6.23)points and(2.32±0.56)points,which were lower than those in the control group(7.13±1.56)points,(25.63±5.18)points and(3.01±0.96)points(P<0.05).The score of parturient control in the study group was(165.86±20.16)points,which was significantly higher than that in the control group(146.35±16.89)points(t=12.516,P<0.001).The incidence of fetal heart rate deceleration and fetal asphyxia in

关 键 词：分娩球 自由体位 初产妇 产痛 分娩控制感 妊娠结局 

分 类 号：R721[医药卫生—儿科]