对头位难产产妇实施产程护理对其分娩结局的影响

The effect of the obstetric care on the outcome of the birth of the parturient

目的 :探讨对头位难产产妇实施产程护理对其分娩结局的影响。方法 :选取2015年4月至2017年4月期间在四川省都江堰市妇幼保健院进行分娩的90例头位难产产妇作为研究对象。随机将这些产妇分为常规护理组(n=45)和产程护理组(n=45)。对常规护理组产妇进行常规护理,对产程护理组产妇在进行常规护理的基础上,实施产程护理。护理结束后,比较两组产妇的自然分娩率、产钳助产率、剖宫产率、其所娩新生儿窒息的发生率、总产程持续的时间、产后疼痛持续的时间、产后麻木持续的时间、产后24 h内的出血量及其所娩新生儿的NBNA(新生儿神经行为测定)评分。结果 :接受护理后,产程护理组产妇的剖宫产率及其所娩新生儿窒息的发生率均明显低于常规护理组产妇,其总产程持续的时间、产后疼痛持续的时间和产后麻木持续的时间均明显短于常规护理组产妇,其产后24 h内的出血量明显少于常规护理组产妇,其所娩新生儿的NBNA评分明显高于常规护理组产妇所娩的新生儿,差异具有统计学意义(P<0.05)。两组产妇的自然分娩率和产钳助产率相比,差异无统计学意义(P>0.05)。结论 :对头位难产产妇实施产程护理,可显著缩短其产程,减轻其在分娩时的不适感,改善其分娩结局。

objective： to explore the effect of the obstetric nursing on the outcome of childbirth. Methods： a total of 90 patients who were born in the maternal and child health care hospital of dujiangyan city, sichuan province were selected as the study subjects from April 2015 to April 2017. These women were randomly assigned to the routine care group（n=45） and the labor care group（n=45）. Routine nursing was performed for the normal nursing group, and the maternity nursing was carried out on the basis of routine nursing. Nursing after the comparison of two groups of maternal natural births, forceps midwifery rate, cesarean section rate, its deliser the incidence of neonatal asphyxia, the duration of the total labor, postpartum pain duration, the duration of the postpartum numbness, postpartum blood loss and the deliser newborn within 24 h of NBNA score（neonatal neurobehavioral test）. Results： after accepting nursing, the labor of the cesarean delivery rate of maternal care group deliser the incidence of neonatal asphyxia were significantly lower than the conventional maternal care group, the duration of the total labor, postpartum the duration of the pain and postpartum numb last time were significantly shorter in the conventional nursing group, maternal postpartum haemorrhage amount within 24 h is less than that of the conventional maternal care group, its deliser NBNA scores of neonatal was obviously higher than that of routine nursing group deliser by maternal newborn, statistically significant difference（P〈0.05）. There was no statistically significant difference between the two groups（P BBB 0 0.05）. Conclusion： it can significantly shorten the labor process and reduce the discomfort during childbirth and improve the outcome of childbirth.