藏医自然分娩理论与实践研究

发布时间：2018-07-14 17:53

【摘要】：研究背景:通过搜集藏医自然分娩文献和资料知道藏医有一套自然分娩理论体系,在高海拔、严酷的生活环境下祖辈们通过积累宝贵的经验,留下了适合在这里的较完整的自然分娩方法。但是由于起初学藏医的全是在寺庙里的僧侣,在临床上不便接生,导致现在藏医自然分娩理论与实践没有得到很大的推广和传播。其次藏区偏僻落后,没有相应的医疗人员,再加上路途遥远和交通不便,没有及时行医的条件。导致藏区产妇的分娩状况没有保障。现如今藏区分娩现状虽然比以前好一点,但是对于藏区现在还没有实行藏医里记载的自然分娩法。我觉得我们要汲取传统分娩的好经验,有利于今后发扬藏医传统文学的传承和了解藏区分娩现状以更好的对藏区产妇提供更好更专业的分娩服务,是我们义不容辞的责任。研究目的及方法:此研究通过文献资料研究和临床问卷调查的研究方法;首先通过文献资料探讨分娩过程中发生难产的原因及其助产士的分娩技术。论述了自己对藏医分娩相关疾病的诊断与治疗、预防措施等内容的认识和观点。其次通过在分娩中心临床实习和对分娩中心的102名产妇进行问卷调查,总结热贡地区产妇的分娩状况及了解当地最常见的分娩相关疾病和发生原因。此外对当地经验丰富的五名助产士进行访问了解临床实行的分娩技术。研究结果:在文献资料研究中大致论述了藏医自然分娩的理论;运用藏医文献中的理论知识和见解现在临床上的各种方法对分娩前、分娩期、分娩后三大顺序论述了分娩的全过程,并提出了分娩相关疾病的防治思路。在问卷调查中,102名产妇最常见的分娩相关疾病依次为胎位不正和脐绕颈、骨盆不称等。产后主要疾病有产后大出血和新生儿窒息。其发生原因与孕妇保健意识和助产士的分娩技术等有关。研究结论:1.通过此研究知道分娩状况与产妇的健康教育相关,我们要加强孕期保健和分娩相关的健康知识宣传为预防产妇自然分娩时的各个危险因素。2.提高助产士的分娩技术是保障母子健康的关键。
[Abstract]:Background: through collecting the literature and data of natural delivery in Tibetan medicine, we know that Tibetan medicine has a set of natural delivery theory system. In the high altitude and harsh living environment, the ancestors accumulated valuable experience. Leave a more complete natural delivery method suitable here. However, due to the beginning of Tibetan medicine are all monks in the temple, clinical inconvenient delivery, resulting in the Tibetan medicine natural delivery theory and practice has not been greatly promoted and spread. Secondly, the Tibetan area is remote and backward, without corresponding medical personnel, plus the long distance and the inconvenient transportation, and the condition of practicing medicine in time. As a result, the delivery conditions of parturient in Tibetan area are not guaranteed. Although the present situation of delivery in Tibetan areas is a little better than before, there is no natural delivery law recorded in Tibetan medicine. I think it is our unshirkable duty to learn from the good experience of traditional delivery, to carry forward the inheritance of Tibetan traditional literature and to understand the present situation of delivery in Tibetan areas so as to provide better and more professional delivery services for parturients in Tibetan areas. Objective and methods: this study was carried out through literature research and clinical questionnaire survey. Firstly, the causes of dystocia during labor and the delivery techniques of midwives were discussed. This paper discusses his own understanding and views on the diagnosis and treatment of parturition related diseases and preventive measures in Tibetan medicine. Secondly, through the clinical practice in the delivery center and the questionnaire survey of 102 parturient in the delivery center, this paper summarizes the delivery condition of the parturient in Jigong area, and finds out the most common diseases and the causes of the parturition. In addition, five local experienced midwives were interviewed to learn about clinical delivery techniques. Research results: in the literature research, the theory of natural delivery of Tibetan medicine is discussed, and the theory and opinions of Tibetan medical literature are used to analyze the period of labor before and after delivery. The whole process of delivery was discussed in three major order after delivery, and the prevention and treatment of parturition related diseases were put forward. In the questionnaire, the most common parturition related diseases in 102 parturient women were fetal malposition and umbilical around neck, pelvic disproportion and so on. Major postpartum diseases include postpartum haemorrhage and neonatal asphyxia. The causes are related to maternal health awareness and midwives' delivery techniques. Conclusion: 1. Through this study, we know that delivery status is related to maternal health education, we should strengthen health care during pregnancy and health knowledge related to childbirth as the prevention of maternal natural delivery risk factors. 2. Improving midwives' delivery skills is the key to ensuring the health of mother and child.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R29

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