穴位按压下自由体位联合适度保护会阴对分娩结局的影响

发布时间：2018-07-22 21:26

【摘要】：目的探讨穴位按压下自由体位联合适度保护会阴分娩法对分娩结局的影响。方法选取2014年6月—2016年6月海南省某妇幼保健院250例愿意自然分娩的孕产妇作为研究对象,用随机数字表法分为实验组125例和对照组125例。两组均采用自由体位联合适度保护会阴分娩法助产。在此基础上,对实验组进行穴位按压,记录并比较两组产妇剖宫产率、会阴侧切率、产钳助产率、会阴裂伤、产时疼痛程度、产后出血率、新生儿窒息率、体重及阿普加评分。结果最终共231例产妇完成该研究,其中实验组117例、对照组114例。实验组与对照组比较,剖宫产率及会阴侧切率降低、会阴裂伤及疼痛程度减轻、产后出血减少、新生儿阿普加评分提高,差异均具有统计学意义(P0.05或P0.01)。结论穴位按压下自由体位联合适度保护会阴分娩法在降低产妇剖宫产及会阴侧切率、减少会阴裂伤、缓解产时疼痛、防止产后出血及预防新生儿窒息方面有一定效果,可改善产妇及新生儿的分娩结局。
[Abstract]:Objective to investigate the effect of free posture combined with moderate protection of perineum delivery method on delivery outcome under acupoint pressure. Methods from June 2014 to June 2016, 250 pregnant and parturient women who were willing to give birth naturally in a hospital of maternal and child health care in Hainan Province were selected as study objects. 125 cases were divided into experimental group (125 cases) and control group (125 cases) by random digital table. Both groups were given free posture combined with moderate protection of perineal delivery. On this basis, acupressure was performed to record and compare the cesarean section rate, perineum side incision rate, forceps delivery rate, perineal laceration, labor pain degree, postpartum hemorrhage rate, asphyxia rate of newborn, weight and Apgar score in the experimental group. Results 231 puerperas were enrolled in the study, 117 in the experimental group and 114 in the control group. Compared with the control group, the cesarean section rate and perineal incision rate decreased, perineal laceration and pain reduced, postpartum hemorrhage decreased, the Apgar score of newborn increased, the difference was statistically significant (P0.05 or P0.01). Conclusion the free position under acupoint pressure combined with moderate protection of perineum delivery has certain effect on reducing cesarean section and perineum side cutting rate, reducing perineal laceration, relieving pain during labor, preventing postpartum hemorrhage and preventing neonatal asphyxia. It can improve the delivery outcome of parturient and newborn.
【作者单位】：三亚市妇幼保健院护理部;
【分类号】：R473.71

【相似文献】