分娩球联合拉玛泽呼吸法对初产妇产痛、分娩控制感及妊娠结局的影响

Effects of childbirth ball joint Lamaze breathing method in childbirth process of primiparas

目的探讨分娩球联合拉玛泽呼吸法在初产妇分娩过程中的应用效果。方法采用随机数字表法将产科160例产妇分为观察组与对照组各80例。观察组给予分娩球联合拉玛泽呼吸法,对照组仅给予常规分娩护理。比较2组疼痛程度、分娩控制感、产程时间、分娩方式及新生儿Apgar评分。结果观察组疼痛程度明显轻于对照组(Z=-6.151,P<0.01);观察组分娩控制量表得分为(170.0±15.5)分,明显高于对照组的(123.8±15.2)分。观察组总产程用时(396.6±82.3)min,少于对照组的(650.0±94.9)min;观察组剖宫产率明显低于对照组(χ2=13.78,P<0.01)。观察组新生儿Apgar评分明显高于对照组(Z=-3.174,P<0.01)。结论分娩球联合拉玛泽呼吸法可有效提高自然分娩率、缓解分娩疼痛、缩短产程用时,具有临床应用意义。

Objective To study the effects of childbirth ball joint Lamaze breathing method in childbirth process of primiparas.Methods Totally 160 primiparas were randomly divided into observation group（n=80）and control group（n=80）.The observation group was given childbirth ball joint Lamaze breathing method,and the control group was given routine delivery care.The pain,laboure agentry scale（LAS）scores,delivery time,mode of delivery and Apgar scores of 2groups were compared.Results The pain in the observation group was lighter than that in the control group（Z=-6.151,P0.01）.The LAS score in the observation group was 170.0±15.53,which was obviously higher than that in the control group（123.8 ± 15.19）.The total labor time in the observation group was（396.6 ± 82.3）min,which was less than that in the control group（650.0 ±94.9）min.The rate of cesarean section in the observation group was obviously lower than that in the control group（χ2=13.78,P0.01）.The Apgar score in the observation group was obviously higher than that in the control group（Z=-3.174,P0.01）.Conclusion Childbirth ball joint Lamaze breathing method can effectively improve the natural birth rate,ease labor pain,shorten the labor time,it has clinical application significance.