摘要
目的探讨坐式体位对产妇镇痛分娩的影响。方法在获得研究对象知情同意后,便利抽样法选取2013年3-7月在绍兴市妇幼保健院住院实施硬膜外镇痛分娩的99例产妇作为研究对象,按随机数字表法将其分为观察组(n=52)和对照组(n=47)。观察组产妇采用坐式体位进行分娩,对照组产妇采用传统的仰卧位进行分娩,观察两组产妇分娩方式、第二产程、产妇舒适度、下肢酸胀麻木及会阴切开等指标。结果观察组产妇自然分娩率为98.08%,明显高于对照组的85.11%,差异有统计学意义(χ2=3.982,P=0.046);第二产程所用时间明显少于对照组,差异有统计学意义(t=2.310,P=0.024);产妇分娩舒适度总体好于对照组,差异有统计学意义(Z=-2.049,P=0.040);产妇发生下肢酸胀麻木和会阴切开的比例均低于对照组,差异均有统计学意义(均P<0.05)。结论坐式体位分娩可提高产妇自然分娩率、缩短第二产程时间和提高产妇分娩舒适度。
Objective To discuss the application effect of sitting delivery during the analgesia delivery. Methods After the acquiring informed consent, we selected 99 puerperae who were ready to implement delivery by the epidural anesthesia in March 2013 to July 2013 in Shaoxing maternal and child health hospital by convenience sampling method. The 99 puerperae were randomized into observation group （n = 52） and control group （n =47）. The experimental group adopted the sitting delivery, and the control group used traditional supine position. The delivery way, time of second stage of labor and degree of maternal comfort soreness and acragnosis of lower limb and episiotomy index were compared between two groups. Results The rate of natural delivery in experimental group （98.08%） was significantly higher than control group （85.11%） with significant difference （X^2 = 3.982, P = 0. 046）. The time of second stage of labor in experimental group was less than the control group （t =2.310, P=0.024）. The degree of maternal comfort was better than the control group （Z=- 2.049, P = 0.040）. The rate of discomfort in legs and perineum incision were lower than the control group （all P〈0.05）. Conclusion The sitting delivery can improve the rate of natural delivery, shorten the time of second stage of labor and increase the degree of maternal comfort.
出处
《解放军护理杂志》
CSCD
2015年第2期38-40,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
坐式体位
分娩方式
第二产程
舒适度
sitting delivery
delivery way
second stage of labor
comfort degree
