集束化护理联合硬膜外麻醉镇痛术在产程中的应用

Application of bundles of care combined with epidural anesthesia and analgesia in the labor process

目的:探讨集束化护理联合硬膜外麻醉镇痛术在产程中的应用。方法:选取2022年3月至2023年3月在我院拟阴道分娩的100例初产妇,随机分为观察组(集束化护理)与对照组(传统护理),每组50例。两组均给予硬膜外麻醉镇痛,产程中实施不同护理干预。比较两组分娩结局(自然分娩、助产、剖宫产)、产程时间、新生儿结局(Apgar评分、新生儿窒息率、胎儿窘迫)及护理满意度。结果:观察组自然分娩率高于对照组(P<0.05)、剖宫产率低于对照组(P<0.05),两组助产率差异无统计学意义(P>0.05);观察组第一、第二、第三及总产程时间较对照组短(P<0.05);观察组新生儿娩出1 min内Apgar评分高于对照组(P<0.05),两组新生儿窒息率、胎儿窘迫情况差异无统计学意义(P>0.05);观察组护理总满意度高于对照组(P<0.05)。结论:集束化护理联合硬膜外麻醉镇痛术在产程中能降低剖宫产率、缩短产程时间,改善新生儿结局,提升护理满意度。

Objective:To explore the application of bundles of care combined with epidural anesthesia and analgesia in the labor process.Methods:A total of 100 primiparous women who planned to undergo vaginal delivery at Xinfeng People's Hospital of Jiangxi from March 2022 to March 2023 were randomly divided into an observation group(n=50,bundles of care)and a control group(n=50,traditional care)based on a random number table method.Both groups were given epidural anesthesia and analgesia,and different nursing interventions were implemented during labor.The delivery outcomes(natural delivery,assisted delivery,cesarean section),labor duration,neonatal outcomes(Apgar score,neonatal asphyxia rate,fetal distress),and nursing satisfaction between the two groups were compared.Results:Comparing the natural delivery rate and cesarean section rate between the two groups,the natural delivery rate of observation group was higher than that of the control group(P<0.05),and the cesarean section rate was lower than that of the control group(P<0.05),with no statistical significance in midwifery rate between the two groups(P>0.05).The comparison of the first,second,third,and total labor process time between the two groups showed that the observation group was shorter than the that of control group(P<0.05).In the comparison of Apgar scores within 1 minute of delivery between the two groups of newborns,the observation group scored higher than that of the control group(P<0.05).There was no statistical significance in neonatal rate and fetal distress between the two groups(P>0.05).Compared with the control group,the observation group showed higher overall nursing satisfaction(P<0.05).Conclusion:Bundles of care combined with epidural anesthesia and analgesia can reduce cesarean section rate,shorten delivery time,improve neonatal outcomes,and enhance nursing satisfaction during labor.