经阴道气囊仿生助产结合体位管理对产妇分娩控制感、妊娠结局及产后盆底功能的影响  

Effects of transvaginal balloon bionic midwifery combined with postural management on sense of delivery control,pregnancy outcomes and postpartum pelvic floor function in puerperae

作　　者：林丽 邹玉娟 张艳 Lin Li;Zou Yu-juan;Zhang Yan(Department of Obstetrics,Yudu Maternal and Child Health Hospital,Ganzhou 342300,Jiangxi,China)

机构地区：[1]于都县妇幼保健院产科,江西赣州342300

出　　处：《四川生理科学杂志》2024年第7期1455-1457,1476,共4页

基　　金：赣州市指导性科技计划项目(GZ2023ZSF766)。

摘　　要：目的:探究经阴道气囊仿生助产结合体位管理对产妇分娩控制感、妊娠结局及产后盆底功能的影响。方法:选取2021年10月~2023年7月于我院分娩的62例产妇作为研究对象,按随机数字表法分成对照组和研究组,各31例。对照组采取常规的助产护理,研究组采取经阴道气囊仿生助产结合体位管理。比较两组产妇的分娩控制量表评分(Labour agentry scale,LAS)、妊娠结局[产妇分娩方式、视觉模拟疼痛评分(Visual analogue scale,VAS)、产程时间、产后出血量、新生儿1minApgar评分]以及产后盆底功能[阴道持续收缩时间、盆底肌力(包括盆底Ⅰ类和Ⅱ类肌纤维肌力)、疲劳度和静息压、盆底收缩压等]。结果:产后,研究组产妇的LAS评分高于对照组(P<0.05);研究组产妇的VAS疼痛评分、产程时间、产后出血量等各项指标数低于对照组(P<0.05);研究组与对照组新生儿1minApgar评分无明显差异(P>0.05);产后6~8 w,两组产后盆底功能各项指标情况均明显下降,研究组产后盆底功能各项指标情况高于对照组(P<0.05)。结论:经阴道气囊仿生助产结合体位管理有助于产妇减轻产痛,提高分娩控制感,可促使产妇顺利分娩,从而改善妊娠结局和产妇产后盆底功能。Objective:To explore the effects of transvaginal balloon bionic midwifery combined with postural management on sense of delivery control,pregnancy outcomes and postpartum pelvic floor function in puerperae.Methods:According to random number table method,62 puerperae admitted to the hospital were divided into control group and study group,31 cases in each group,between October 2021 and July 2023.The control group was given routine midwifery nursing,while study group was given transvaginal balloon bionic midwifery combined with postural management.The scores of 1abour agentry scale(LAS),pregnancy outcomes[delivery mode,score of visual analogue scale(VAS),stages of labor,postpartum blood loss,neonatal 1min Apgar score]and postpartum pelvic floor function[duration of vaginal contraction,pelvic floor muscle strength(classes II and II muscle fibers),fatigue,resting pressure,pelvic floor systolic pressure]in the two groups were compared.Results:After delivery,LAS score in study group was higher than that in control group(P<0.05).The difference in delivery mode between the two groups was not statistically significant(P>0.05).VAS score,stages of labor and postpartum blood loss in study group were lower than those in control group(P<0.05).The difference in neonatal 1min Apgar score between the two groups was not statistically significant(P>0.05).At 6-8 weeks after delivery,postpartum pelvic floor function indexes were significantly decreased in both groups,which were higher in study group than control group(P<0.05).Conclusion:Transvaginal balloon bionic midwifery combined with postural management is beneficial to relieve delivery pain,improve the sense of delivery control and promote smooth delivery in puerperae,which thus can improve pregnancy outcomes and postpartum pelvic floor function.

关 键 词：气囊仿生助产 体位管理 分娩控制感 妊娠结局 产后盆底功能 

分 类 号：R473.71[医药卫生—护理学]