摘要
目的探讨气囊腹压带在自然分娩中的应用效果。方法选取2016年5月~2017年5月在我院产科行自然分娩的180例孕妇作为研究对象,将其随机分为三组,每组各60例。A组产妇全程应用增腹压助产仪,B组产妇有两个宫缩周期不使用助产仪增腹压,C组产妇全程不使用增腹压助产仪,比较三组产妇的生命体征变化、新生儿Apgar评分、出血量、第二三产程时间及胎头拨露时间。结果三组产妇产后2 h的心率、呼吸、收缩压、舒张压、Sp O2比较,差异无统计学意义(P>0.05)。三组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。A组产妇的第三产程出血量、胎盘娩出时出血量、产后2 h出血量少于B组,B组少于C组,差异均有统计学意义(P<0.05)。A组产妇的第二产程时间、第三产程时间、胎头拨露时间明显短于B组,B组短于C组,差异均有统计学意义(P<0.05)。结论多功能气囊腹压带用于自然分娩中,能够显著加快第二、三产程进程,减少产后出血量,缩短产时,降低产后出血概率,且对母婴生命体征无明显不良影响,具有积极的临床意义。
Objective To investigate the application effect of balloon abdominal pressure belt in natural childbirth. Methods A total of 180 pregnant women who were in natural delivery in the department of obstetrics in our hospital from May 2016 to May 2017 were randomly divided into three groups,60 cases in each group.Group A was given abdominal pressure increasing midwifery device,group B was not given midwifery device for increasing abdominal pressure in the two courses of uterine construction,and group C was not given abdominal pressure increasing midwifery device.The changes in vital signs,neonatal Apgar score,bleeding volume,the duration of the second and third trimesters and the time of head visible on vulval gapping＇of three groups were compared.Results The heart rate,respiration,systolic blood pressure,diastolic blood pressure and SpO2 in 2 hours after delivery of three groups were compared,and the differences were not statistically significant （P〉0.05）.The neonatal Apgar scores of three groups were compared,and the difference was not statistically significant （P〉0.05）.The bleeding volume in the third trimester, bleeding volume upon delivery of placenta,and the postpartum bleeding volume in 2 hours after delivery in group A were less than those in group B,the indexes of group B were less than group C,and the differences were statistically significant （P〈0.05）.The duration of the second trimester,the duration of the third trimester and the time of head visible on vulval gapping in group A were significantly less than those in group B,and the indexes of group B were significantly less than group C, the differences were statistically significant （P〈0.05）.Conclasion The multi-functional balloong abdominal pressure belt used in natural childbirth can speed up the duration of the second and third trimester,reduce the labor time and postpartum bleeding volume,and reduce the risk of postpartum hemorrhage.It has no significant adverse effects on maternal and infantile vital signs,with a positive cl
出处
《中国当代医药》
2017年第32期77-79,共3页
China Modern Medicine
关键词
产后出血
气囊腹压带
治疗及预防作用
Postpartum bleeding
Balloon abdominal pressure belt
Treatment and prevention effect
