摘要
目的:观察集束化镇痛护理在初产妇分娩中的应用效果。方法:选取2020年2月至2021年5月于该院分娩的82例初产妇进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各41例。对照组给予常规护理,观察组在对照组基础上给予集束化镇痛护理,比较两组疼痛程度分级、产程时间、阴道分娩率、母婴结局及并发症发生率。结果:观察组疼痛程度分级0级、Ⅰ级占比均高于对照组,Ⅱ、Ⅲ级占比均低于对照组,差异有统计学意义(P<0.05);观察组第一、二、三产程时间均短于对照组,差异有统计学意义(P<0.05);观察组阴道分娩率为95.12%(39/41),高于对照组的78.05%(32/41),差异有统计学意义(P<0.05);观察组胎儿窘迫发生率、产后2 h出血量均低于对照组,1 min新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为7.32%(3/41),低于对照组的26.83%(11/41),差异有统计学意义(P<0.05)。结论:集束化镇痛护理应用于初产妇分娩,可减轻产妇分娩疼痛程度,缩短产程,提高阴道分娩率,改善母婴结局,降低并发症发生率,效果优于常规护理。
Objective:To observe application effect of cluster analgesia nursing in primipara delivery.Methods:A prospective study was conducted on 82 primiparas who gave birth in the hospital from February 2020 to May 2021.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine nursing,while the observation group was given the cluster analgesia nursing on the basis of that of the control group.The pain degree classification,the labor time,the vaginal delivery rate,the maternal and infant outcomes,and the incidence of complications were compared between the two groups.Results:The proportions of pain grade 0 and grade I in the observation group were higher than those in the control group,the proportion of pain gradeⅡand gradeⅢwere lower than those in the control group,and the differences were statistically significant(P<0.05).The first,second and third stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The vaginal delivery rate of the observation group was 95.12%(39/41),which was higher than 78.05%(32/41)of the control group,and the difference was statistically significant(P<0.05).The incidence of fetal distress and the amount of bleeding 2 h after delivery in the observation group were lower than those in the control group,the neonatal Apgar score at 1 min was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 7.32%(3/41),which was lower than 26.83%(11/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The cluster analgesic nursing in primipara delivery can reduce the degree of labor pain,shorten the stage of labor,improve the vaginal delivery rate,improve the maternal and infant outcomes,and reduce the incidence of complications.Moreover,it is superior to the routine nur
作者
陈艳红
赖春梅
CHEN Yanhong;LAI Chunmei(Department of Pediatrics of Ruijin People’s Hospital,Ganzhou 342500 Jiangxi,China)
出处
《中国民康医学》
2024年第7期187-189,共3页
Medical Journal of Chinese People’s Health
关键词
集束化镇痛护理
初产妇
分娩
疼痛
产程
并发症
Cluster analgesic nursing
Primipara
Delivery
Pain
Stage of labor
Complication
