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妊娠晚期会阴按摩联合凯格尔运动在初产妇自然分娩中的应用效果 被引量:24

Application effect of late pregnancy perineal massage combined with Kegel exercises in primipara in natural childbirth
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摘要 [目的]探讨妊娠晚期会阴按摩联合凯格尔运动在初产妇自然分娩中的应用价值。[方法]将200例自然分娩的初产妇随机分为对照组和观察组各100例。对照组按照常规护理产检接生,观察组妊娠34周后在常规产检的基础上指导会阴按摩和凯格尔运动。比较两组产妇自然分娩中产程时间、产后出血量、会阴切开率、会阴裂伤率、新生儿Apgar评分及会阴疼痛情况。[结果]观察组产程时间均明显低于对照组(P<0.05),会阴切开率、会阴裂伤情况、产后出血量、会阴疼痛程度均明显低于对照组(P<0.05)。[结论]妊娠晚期会阴按摩联合凯格尔运动应用于初产妇自然分娩可缩短产程,减少产后出血,降低会阴侧切率,提高会阴完整率,减轻会阴裂伤情况,减轻会阴疼痛。 Objective:To explore application and value of late pregnancy perineal massage combined with Kegel exercises in natural childbirth of primipara.Methods:200 primiparas were randomly divided into control group and observation group,100 cases in each group.The control group received routine nursing delivery,and the observation group received massage and exercise on the basis of routine examination after 34 weeks of pregnancy.Duration of labor,postpartum hemorrhage,episiotomy rate,perineal laceration rate,neonatal Apgar score and perineal pain were compared between the two groups.Results:Duration of labor in observation group was significantly lower than that of control group(P〈0.05).The rates of episiotomy,perineal laceration,postpartum hemorrhage,neonatal Apgar score and perineal pain were significantly lower than those of the control group(P〈0.05).Conclusions:Late pregnancy perineal massage combined with Kegel exercises used in natural childbirth primipara could shorten duration of labor,reduce postpartum hemorrhage,decrease episiotomy rate,improve the integrity rate,reduce perineal laceration,reduce perineal pain.
作者 王敏 张海宏
出处 《护理研究(下旬版)》 2017年第11期4243-4246,共4页 Chinese Nursing Researsh
关键词 初产妇 自然分娩 会阴按摩 凯格尔运动 会阴裂伤 产程 primipara natural childbirth perineal massage Kegel exercises perineal laceration duration of labor
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