摘要
目的探讨影响分娩疼痛程度的相关因素及其对产妇产程及分娩结局的影响。方法选取2012-01/2013-12月在作者医院分娩的125例正常单胎头位产妇为研究对象,采用视觉模拟评分(visual analogue scale,VAS)对产妇潜伏期、活跃期疼痛程度进行评估,采用自行设计的调查问卷对影响孕妇疼痛程度的相关因素进行调查,并观察疼痛程度对孕妇产程及分娩结局的影响。结果疼痛程度相关因素:潜伏期:轻度疼痛68例,中度疼痛57例。孕次、高龄、夫妻关系、分娩认知与潜伏期产妇疼痛的有关。活跃期:中度疼痛62例,重度疼痛63例,心理准备程度、情绪控制、镇静剂应用是影响活跃期产妇疼痛程度的主要原因。产程及分娩结局:潜伏期:中度疼痛组第1产程显著长于轻度疼痛组,胎儿窘迫发生率、剖宫产率显著高于轻度疼痛组,差异有统计学意义(P<0.05)。活跃期:重度疼痛组第2产程时间显著长于中度疼痛组,胎儿窘迫发生率、产后出血率及剖宫产率显著高于中度疼痛组,差异有统计学意义(P<0.05)。结论年轻、初产妇、夫妻关系一般、紧张恐惧及情绪控制能力较差的产妇分娩疼痛感较强烈。在活跃期中适当应用镇静剂可减轻孕妇分娩疼痛感。疼痛程度较轻的产妇产程较短,分娩结局较理想。
Objective To investigate the maternity pain-related factors and their impact on the production process. Methods A total of 125 normal monocyesis women were evaluated using the visual analog scale （VAS） to assess the de- gree of pain on maternal incubation period. The actors influencing maternal pain levels were investigated with self-de- signed questionnaire and the birth outcomes were observed. Results As for the degree of pain-related factors, there were 68 cases of mild pain and 57 cases of moderate pain. and the gravidity, age, marital relations, childbirth pain perception were related factors in the incubation period. There were 62 cases of moderate pain and 63 cases of severe pain, and the psychological readiness, emotional control, sedatives application were related factors in the active period. As for labor and birth outcomes, the incubation period was significantly longer, the incidence of fetal distress and cesarean section was sig- nificantly higher in the group with moderate pain than those in the group with mild pain group （P^0. 05）. The active pe- riod was significantly longer, the incidence of fetal distress and cesarean section was significantly higher in the group with severe pain than those in the group with moderate pain （P〈0. 05）. Conclusion The young primipara with general mari- tal relationship, poor ability to control the tension of fear and emotional have stronger maternity pain. Appropriate use of sedatives in the active period can reduce the pain. The delivery woman with mild pain has shorter labor process and ideal birth outcomes.
出处
《华南国防医学杂志》
CAS
2014年第5期463-466,共4页
Military Medical Journal of South China
关键词
分娩疼痛
产程
分娩结局
影响因素
Maternity pain
Production process
Birth outcomes
Influencing factors
