骨盆摇摆联合阶段性体位干预对高龄初产妇产程状况和炎症因子的影响  

The effect of pelvic sway combined with staged position intervention on the labor process and inflammatory factors in elderly primiparous women

作　　者：陈南[1] 张丹 邹丹[1] 程明 张志强 梁国江 CHEN Nan;ZHANG Dan;ZOU Dan;CHENG Ming;ZHANG Zhi-qiang;LIANG Guo-jiang(Delivery Room,Chengdu Jinjiang District Women and Children's Health Hospital,Chengdu 610066,China;Department of Rehabilitation,Jinniu District People's Hospital,Chengdu 610036,China;The Community Health Service Center of Jiulidi,Jinniu District,Chengdu 610031,China)

机构地区：[1]成都市锦江区妇幼保健院产房,四川成都610066 [2]成都市金牛区人民医院康复科,四川成都610036 [3]成都市金牛区九里堤社区卫生服务中心,四川成都610031

出　　处：《实用医院临床杂志》2024年第5期180-183,共4页Practical Journal of Clinical Medicine

基　　金：成都市金牛区医学会科研课题(编号:JNKY2021-23)。

摘　　要：目的探讨对高龄初产妇应用骨盆摇摆联合阶段性体位干预的价值及对产程状况和炎症因子的影响。方法2021年6月至2023年6月我院收治的高龄初产妇94例,按信封随机法分成试验组与对照组各47例。对照组施行阶段性体位干预,试验组施行骨盆摇摆联合阶段性体位干预,比较两组分娩方式、产程状况、炎症因子和产后康复状况等。结果试验组剖宫产率4.26%低于对照组17.02%(P<0.05),各个产程和总产程用时短于对照组(P<0.05);分娩后5 min,两组各项炎症因子指标均升高,但试验组超敏C反应蛋白、白介素-6和肿瘤坏死因子-α指标低于对照组(P<0.05);试验组泌乳开始用时短于对照组,产后3 h出血量和宫缩痛得分低于对照组(P<0.05)。结论在高龄初产妇的护理中,骨盆摇摆联合阶段性体位干预的应用效果显著,有助于缩短产程,改善炎症因子水平,降低剖宫产率,并促进泌乳开始用时缩短。Objective To explore the effect of staged position intervention combined with pelvic sway on labor progress and inflammatory factors in elderly primiparous women.Methods Ninety-four elderly primiparous women admitted to our hospital from June 2021 to June 2023 were selected.They were divided into an experimental group and a control group by using envelope randomization,47 in each group.The control group received staged position intervention.The experimental group received staged position intervention combined with pelvic swing.The delivery methods,labor process conditions,inflammatory factors and postpartum recovery status were compared between the two groups.Results The cesarean section rate in the experimental group was 4.26%that was lower than 17.02%in the control group(P<0.05).The duration of each stage and total stage of labor in the experimental group were shorter than that in the control group(P<0.05).After 5 minutes of delivery,all inflammatory factor indicators were increased in both groups,but the levels of high-sensitivity C-reactive protein,interleukin 6 and tumor necrosis factor-αwere lower than those in the control group(P<0.05).The initial lactation time in the experimental group was shorter than that in the control group.The uterine contraction pain and the amount of bleeding at 3 hours postpartum in the experimental group were lower than those in the control group(P<0.05).Conclusions In the nursing care of elderly and primiparous women,staged position intervention and pelvic sway has a significant effect.It helps to shorten the labor process,alleviate the pain caused by uterine contractions,and promote the improvement of maternal and promote the shortening of lactation onset time.

关 键 词：阶段性体位干预 高龄初产妇 产程状况 骨盆摇摆 

分 类 号：R473.71[医药卫生—护理学]