产妇分娩过程中体位干预对降低新生儿发生缺氧缺血性脑病的效果观察

Observation of effectiveness of parturien body position intervention on neonatal hypoxic-ischemic encephalopathy

目的探讨产妇体位干预对分娩过程中新生儿缺氧缺血性脑病发病影响的临床价值。方法将1008例产妇随机分为干预组516例和对照组492例。干预组按常规护理的同时给予体位干预措施，对照组只按常规护理，不作体位指导，统计2组分娩过程中新生儿缺氧缺血性脑病的发病率及病情程度，并进行比较。结果干预组新生儿缺氧缺血性脑病的发生率为9．30％，对照组新生儿缺氧缺血性脑病的发病率为16．26％，2组比较差异有非常显著性（P〈0．01）。2组新生儿缺氧缺血性脑病病情程度比较差异有非常显著性（P〈0．01）。结论体位干预可明显地降低分娩过程中新生儿缺氧缺血性脑病的发病率及减轻病情程度，对提高人口素质具有非常重要的现实意义。

Objective To explore the effectiveness of clinical value of parturien body position intervention on neonatal hypoxic-ischemic encephalopathy during the process of childbirth. Methods One thousand eight parturiens were divided into intervention group （n= 516） and control group （n = 492） randomly. The parturiens in the intervention group received routine nursing and body position intervention, the control group only received routine nursing, the incidence of neonatal hypoxic- ischemic encephalopathy and patient＇s condition were analyzed and compared. Results The incidence of neonatal hypoxic-ischemic encephalopathy in the intervention group was 9.30%, while in the control group was 16.26%, the difference showed significant （P 〈 0.01）. The degree of neonatal hypoxic- ischemic encephalopathy was different significantly between groups. Conclusions Body position intervention of parturien is helpful to decrease the incidence of neonatal hypoxic- ischemic encephalopathy during the process of childbirth and lessen the patient＇s condition and plays important role to improve the quality of population.