体位护理干预对无保护会阴接生产妇的影响研究

Study on the influence of postural nursing intervention on unprotected perineal delivery

目的:分析体位护理干预对无保护会阴接生产妇的影响。方法:2019年1月-2020年6月收治拟行阴道分娩的产妇1100例,随机分为两组,各550例。对照组实施无保护会阴接生护理;试验组实施体位护理干预下无保护会阴接生护理。比较两组产程时间、产道损伤程度及新生儿情况。结果:试验组第二产程与总产程时间均短于对照组,差异有统计学意义(P<0.05);试验组Ⅰ度裂伤率及会阴完好率均高于对照组,Ⅱ度裂伤率、Ⅲ度裂伤率及会阴侧切率均低于对照组,差异有统计学意义(P<0.05);两组新生儿Apgar评分、新生儿窒息率及后出头困难率比较,差异无统计学意义(P>0.05)。结论:在无保护会阴接生产妇的干预中采取体位护理干预,可显著缩短第二产程,有效保护会阴,效果理想。

Objective:To analyze the influence of postural nursing intervention on unprotected perineal delivery.Methods:From January 2019 to June 2020,1100 women who were selected for vaginal delivery and they were randomly divided into two groups with 550 women in each group.The control group received unprotected perineal delivery nursing.The experimental group received perineal delivery nursing without protection under postural nursing intervention.The duration of labor,degree of birth canal injury and neonatal condition were compared between the two groups.Results:The duration of the second stage of labor and the total stage of labor in the experimental group were shorter than the control group,with the difference was statistically significant(P<0.05).The rate ofⅠdegree laceration and perineal integrity in the experimental group were higher than the control group,while the rate ofⅡdegree laceration,Ⅲdegree laceration and perineal lateral incision in the experimental group were lower than the control group,with the differences were statistically significant(P<0.05).Apgar score,neonatal asphyxia rate and the rate of post-emergence difficulty were compared between the two groups,with the difference was not statistically significant(P>0.05).Conclusion:Postural nursing intervention can significantly shorten the second stage of labor and effectively protect the perineum in the intervention of unprotected perineum delivery and effect is ideal.