第二产程采用侧卧位用力在硬膜外分娩镇痛产妇中的应用效果

Second stage of labor uses the lateral position of force in epidural labor analgesia

目的分析硬膜外分娩镇痛产妇分娩时,第二产程采取侧卧位用力的价值。方法选取2019年12月至2020年12月赣州市妇幼保健院产科收治的60例分娩产妇作为研究对象,采用随机数字表法将其分为观察组(30例)和对照组(30例)。对照组患者采用第二产程行平卧位用力,观察组患者采用第二产程行侧卧位用力。比较两组患者的自然分娩率、分娩指标以及镇痛满意度。结果观察组患者的自然分娩率高于对照组,差异有统计学意义(P<0.05);观察组患者的第二产程时间短于对照组,差异有统计学意义(P<0.05);观察组患者的用力时间短于对照组,差异有统计学意义(P<0.05);观察组患者的产后出血量少于对照组,差异有统计学意义(P<0.05);观察组患者干预后的镇痛满意度高于对照组,差异有统计学意义(P<0.05)。结论硬膜外分娩镇痛产妇分娩采取第二产程采取侧卧位用力,具有高临床价值,能够提高加快产妇分娩速度,提高满意度。

Objective To analyze the value of lateral force in the second stage of labor.Methods A total of 60 births from the Department of Obstetrics,Ganzhou Maternal and Child Health Hospital from December 2019 to December 2020 were selected as the research subjects,and they were divided into observation group(30 cases)and control group(30 cases)using the digital table method.Patients in the control group used the second stage,and the observation group used the lateral supine force in the second stage.Natural delivery rates,delivery indicators and analgesic satisfaction were compared between the two groups.Results The natural delivery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The second stage of labor in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The exertion time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The postpartum blood loss of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).The analgesic satisfaction of the observation group was higher than that of the control group after intervention,and the difference was statistically significant(P<0.05).Conclusion Epidural labor analgesia has high clinical value in the second stage of labor and lateral force.It can improve the speed of labor and improve satisfaction.