产程能量管理对产妇分娩结局的影响

Effect of energy management during labor on maternal delivery outcome

目的:探讨产程中能量管理对产妇分娩结局的影响。方法:以2021年6月至2021年12月广州市花都区妇幼保健院产科住院的140例产妇作为研究对象,按照随机数字表法将其分为观察组与对照组,每组70例。对照组在产程开始后,产妇依自己意愿自由进食,观察组产妇实施能量管理结合液体管理。分析两组产妇第一产程和第二产程时长、宫口开全时间、阴道分娩率、产钳助产率、产后出血量和血糖水平。结果:观察组第一产程时长、第二产程时长、宫口开全时间短于对照组,差异有统计学意义(P<0.05);观察组阴道分娩率高于对照组(P<0.05),产钳助产率低于对照组(P<0.05),产后2 h出血量少于对照组(P<0.05);分娩后观察组血糖水平高于对照组(P<0.05)。结论:在产程中进行产妇能量管理结合液体管理能有效缩短产程,提高阴道分娩率。

Objective: To investigate the effect of energy planning during labor on maternal delivery outcome. Methods: From June 2021 to December 2021, 140 cases of hospitalized women in the obstetrics department of Guangzhou Huadu district maternal and child health hospital were selected as the study objects and randomized into the observation group and control group, each with 70 cases. After the beginning of labor, the puerperae in the control group ate freely according to their own wishes, while the puerperae in the observation group received energy management combined with fluid management. The duration of the first and second stage of labor, time for the completely open of the uterine orifice, the total duration of labor, the vaginal delivery rate, time for the completely open of the uterine orifice, the delivery rate assisted by forceps, postpartum blood loss and blood glucose level were compared between the two groups. Results: The duration of the first and second stage of labor and time for the completely open of the uterine orifice in the observation group was shorter than that in the control group, and the differences were statistically significant(P<0.05);The rate of vaginal delivery in the observation group was higher than that in the control group(P<0.05), and the delivery rate assisted by forceps in the observation group was lower than that in the control group( P<0.05), and the 2 hours postpartum blood loss in the observation group was lower than that in the control group(P<0.05);and the blood glucose level of observation group was higher than that of control group(P<0.05). Conclusion: Energy management combined with fluid management during labor can shorten the labor duration can effectively shorten labor process and improve the rate of vaginal delivery.