摘要
目的观察自由体位分娩在胎头位置异常产妇中的应用效果。方法选取南方医科大学第五附属医院2014年1月~2016年1月200例头位置异常产妇,随机分组,观察组采用自由体位分娩方式,对照组采用传统体位分娩方式,比较两组分娩结果。结果 (1)观察组活跃期和第一产程时间短于对照组,P<0.05。(2)观察组的剖宫产率(5%)低于对照组,P<0.05。(3)观察组2级以下分娩疼痛率(90%)高于对照组,3级分娩疼痛率(10%)低于对照组,P<0.05。(4)观察组产后2h出血发生率(5%)、新生儿窒息发生率(1%)低于对照组,P<0.05。(5)观察组护理后焦虑评分低于对照组,P<0.05;观察组护理后焦虑评分低于对照组,P<0.05。(6)观察组满意程度(95%)高于对照组,P<0.05。结论自由体位分娩在胎头位置异常产妇中的应用可缩短生产时间,减少剖宫产率,降低产妇分娩的疼痛感,降低不良事件的发生率,提高产妇的舒适感和护理满意度,值得临床广泛应用和推广。
Objective To observe the effect of free position delivery in abnormal fetal maternal position. Methods 200 cases with abnormal head position cured in Fifth Affiliated Hospital of Southern Medical University from January 2014 to January 2016 were selected and randomly divided into observation group with free position mode of delivery and the control group with the traditional position of the mode of delivery. The delivery results were compared between the two groups. Results （1） The active phase and the first stage of labor of observation group werr shorter than those of control group, P 〈 0.05. （2） The cesarean section rate of the observation group （5%） was lower than that of the control group, P 〈 0.05. （3） The rate of pain in the observation group was lower than that of the control group （90%）, and the rate of grade 3pain at birth （10%） was lower than that in the control group （P 〈 0.05）. （4） the incidence rate of postpartum hemorrhage in the observation group （5%）, the incidence of neonatal asphyxia （1%） was lower than that of the control group P 〈 0.05. （5） The anxiety score of the observation group was lower than that of the control group, P 〈 0.05. The anxiety score of the observation group was lower than that of the control group, P 〈 0.05. （6） The satisfaction degree of the observation group （95%） was higher than that of the control group, P 〈 0.05. Conclusion Free body position in the fetal position abnormal maternal application of the effect is significant. It can reduce maternal production time, reduce cesarean section rate, reduce maternal pain, reduce the incidence of maternal and child adverse events, and improve maternal comfort and nursing satisfaction. It is worthy of clinical wide application and promotion.
出处
《中国医药科学》
2017年第8期82-84,共3页
China Medicine And Pharmacy
关键词
自由体位
分娩
胎头位置异常
Free position
Delivery
Fetal head position abnormalities
