不同的干预方法对初产妇第2产程的影响

Influence of different intervention methods on the second stage of labor of primipara

目的探讨长强穴按压及阴道按压的方法对初产妇第2产程的影响。方法将180例初产妇随机分为3组，每组60例，分别对进入第2产程的初产妇采用长强穴按压（长强穴按压组）、阴道按压（阴道按压组）和常规指导（对照组）的方法进行干预。对3组子宫收缩持续时间、第2产程时间、产后2h阴道流血量、分娩方式、会阴损伤情况、新生儿出生情况进行评估。结果长强穴按压组、阴道按压组各项指标与对照组比较有显著差异。长强穴按压组、阴道按压组2组比较无显著差异。结论初产妇第2产程运用长强穴按压及阴道按压的方法干预能促进第2产程进展，降低剖宫产率及新生儿窒息率，提高产科质量。

Objective To study the influence on primipara＇s second stage of labor with the methods of Changqiang-pressing and Vaginal-pressing. Methods 180 primipara in the second stage of labor were randomly divided into 3 groups of 60 each, in which Changqiang-pressing, Vaginal-pressing, and general guidance （the control group） were used respectively. The duration of uterine contraction and second stage of labor, vaginal bleeding amount in 2 hours after delivery, mode of delivery, perineal injury and birth case would be evaluated. Results The results in both Changqiang-pressing group and Vaginal-pressing group were statistically significant when compared with the control group, but there was no significant difference be- tween Changqiang-pressing group and Vaginal- pressing group. Conclusions Using Changqiang-pressing and Vaginal-pressing can promote the progress of the second stage of labor for primipara, reduce the rate of cesarean section and neonatal asphyxia, and improve the quality of obstetric department.