分娩球运动联合合谷穴按压对产妇自然临产及分娩结局的影响研究  

Study on the influence of birthing ball exercise combined with Hegu acupoint pressure on natural labor and delivery outcome

作　　者：王碧云 梁曼 叶美欣 石晓婷 余桂珍[1] WANG Bi-yun;LIANG Man;YE Mei-xin(Department of Obstetrics,Dongguan Maternal and Child Health Hospital,Dongguan 523000,China)

机构地区：[1]东莞市妇幼保健院产科,523000

出　　处：《中国实用医药》2024年第18期10-14,共5页China Practical Medicine

基　　金：东莞市社会科技发展(一般)项目(项目编号:202050715007853)。

摘　　要：目的探讨孕38周始行分娩球运动联合合谷穴按压对产妇自然临产及分娩结局的影响。方法采用简单随机抽样的方法选取1000例孕37~37+6周单胎头位初产妇,分为观察组及对照组,各500例。观察组在参加常规孕期保健基础上接受助产士门诊分娩球运动联合合谷穴按压,对照组采用常规孕期保健及临产后指导方法。比较两组产妇临产方式、分娩孕周、延期妊娠、分娩方式、妊娠结局(产后2 h出血量、新生儿出生后1 min的Apgar评分、产后出血、新生儿窒息)及经阴道分娩的产程时间。结果观察组414例完成研究,其中361例经阴道分娩;对照组463例完成研究,其中363例经阴道分娩。观察组自然临产率88.89%、未延期妊娠率90.58%高于对照组的82.51%、84.88%,差异有统计学意义(P<0.05);两组分娩孕周比较差异有统计学意义(P<0.05)。观察组经阴道分娩率87.20%高于对照组的78.40%、剖宫产率12.80%低于对照组的21.60%,差异有统计学意义(P<0.05);两组产后2 h出血量、产后出血发生率及新生儿出生后1 min的Apgar评分、新生儿窒息发生率比较,差异无统计学意义(P>0.05)。观察组经阴道分娩的第一产程持续时间(8.86±5.12)h、总产程持续时间(9.87±5.24)h均短于对照组的(9.68±5.05)、(10.67±5.27)h,差异有统计学意义(P<0.05);两组经阴道分娩的第二产程持续时间及第三产程持续时间比较,差异无统计学意义(P>0.05)。结论孕38周始行分娩球运动联合合谷穴按压具有降低延期妊娠率、促进自然临产、提高阴道分娩率及缩短产程的作用。Objective To explore the influence of birthing ball exercise combined with Hegu acupoint pressure on natural labor and delivery outcome.Methods A simple random sampling method was used to select 1000 cases of primigravid women with single fetus in cephalic position at 37-37+6 weeks of gestation,and they were divided into an observation group and a control group,with 500 cases in each group.The observation group received the birthing ball exercise combined with Hegu acupoint pressure in the midwife clinic on the basis of routine prenatal care,while the control group received routine prenatal care and post-delivery guidance.Comparison was made on mode of labor,gestational weeks,delayed pregnancy,delivery mode and pregnancy outcome(amount of hemorrhage at 2 h postpartum,neonatal Apgar score at 1 min after birth,postpartum hemorrhage,and neonatal asphyxia)and labor duration of vaginal delivery between the two groups.Results In the observation group,414 cases completed the study,of which 361 cases were delivered vaginally;in the control group,463 cases completed the study,of which 363 cases were delivered vaginally.The rates of natural labor and undelayed pregnancy were 88.89%and 90.58%in the observation group,which were higher than 82.51%and 84.88%in the control group,and the difference was statistically significant(P<0.05).The difference in gestational weeks of delivery between the two groups was statistically significant(P<0.05).The rate of vaginal delivery in the observation group was 87.20%,which was higher than 78.40%in the control group;the rate of cesarean section was 12.80%,which was lower than 21.60%in the control group.The difference was statistically significant(P<0.05).There were no significant differences between the two groups in the amount of hemorrhage at 2 h postpartum,incidence of postpartum hemorrhage,neonatal Apgar score at 1 min after birth,and incidence of neonatal asphyxia(P>0.05).The duration of the first stage of labor in the observation group was(8.86±5.12)h and the total duration of labor

关 键 词：分娩球运动 合谷穴 自然临产 延期妊娠 分娩结局 

分 类 号：R473.71[医药卫生—护理学]