整体护理对初产妇分娩助产效应的临床观察

Clinical Observation of the Effect of Holistic Nursing Intervention on Delivery of Primiparas under Epidural Analgesia

目的:探讨整体护理对初产妇分娩的助产效应。方法:选择临产初产妇160例,随机分为整体护理干预组和对照组。所有产妇均采用硬膜外镇痛(0.125%布比卡因间断按需给药),观察两组的麻醉药用药总量、不良反应、产程时间、分娩方式和母婴结局。结果:整体护理干预组自然分娩率为95%,高于对照组(72.5%);整体护理干预组产程时间为(234.5±58.3)分钟,明显短于对照组(318.3±54.9)分钟;整体护理干预组麻醉用药总量为(38.6±16.5)mg,明显少于对照组(58.6±20.2)mg。结论:对镇痛分娩的产妇进行整体护理干预,有助于提高自然分娩成功率。

Objective：To discuss the effect of holistic nursing intervention on delivery of primiparas under epidural analgesia.Methods： 160 primiparas on labor were randomly divided into two groups with holistic nursing intervention（experiment group） or not（control group）.All primiparas received epidural analgesia with 0.125% bupivacaine intermittent injection,then the total anesthetic dosage,side effects,labor time,mode of delivery,and the effects on maternal and neonatal were observed.Results： The natural birth rate of holistic nursing intervention group was 94%,it is higher than that of the control group（72.5%）,the labor time of the intervention group was 234.5 ± 58.3 min,significantly shorter than that of the control group（318.3 ± 54.9 min）,the total amount of narcotic medication used in intervention group was 38.6 ± 16.5 mg,was significantly less than that in the control group（58.6±20.2 mg）.Conclusion： Holistic nursing intervention on delivery of primiparas under the help of epidural analgesia can increase the rate of success of natural birth.