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目的评价无痛分娩对于产妇产程、新生儿以及产后出血的影响。方法 150例产妇,按照计算机表法分为对照组和观察组,各75例。对照组产妇采取非无痛分娩的生产方式,观察组产妇采取无痛分娩的生产方式。比较两组产妇疼痛程度、产后出血量、产程以及新生儿Apgar评分。结果观察组产妇分娩时疼痛、缝合伤口时疼痛评分均明显低于对照组,差异具有统计学意义(t=34.5155、12.0311,P<0.05)。两组新生儿Apgar评分状况比较差异无统计学意义(χ2=0.2069,P>0.05)。观察组产妇产后2 h平均出血量为(182.3±46.2)ml,少于对照组的(325.1±34.7)ml,差异具有统计学意义(t=21.4033,P<0.05)。观察组产妇各产程时间短于对照组,但差异无统计学意义(t=1.2392、1.2223、1.6065,P>0.05)。结论产妇采取无痛分娩的方式生产能够降低疼痛,减少产后出血量,不会对新生儿以及产程产生影响,比较安全,可以适当进行推广。
Objective To evaluate the effects of painless childbirth on maternal labor, newborns and postpartum hemorrhage. Methods 150 maternal women were divided into control group and observation group according to the computer table method, each of 75 cases. Control group maternal take non-painless childbirth mode of production, observation group maternal take painless childbirth mode of production. The degree of pain, the amount of postpartum hemorrhage, labor process and neonatal Apgar score were compared between the two groups. Results The pain scores of childbirth and childbirth in observation group were significantly lower than those in control group (t = 34.5155, 12.0311, P <0.05). There was no significant difference in Apgar score between the two groups (χ2 = 0.2069, P> 0.05). The average amount of bleeding at 2 h postpartum in the observation group was (182.3 ± 46.2) ml less than that in the control group (325.1 ± 34.7) ml, the difference was statistically significant (t = 21.4033, P <0.05). The observation group maternal labor duration was shorter than the control group, but the difference was not statistically significant (t = 1.2392,1.2223,1.6065, P> 0.05). Conclusion Maternal painless childbirth can reduce the pain, reduce the amount of postpartum hemorrhage, will not affect the newborn and the labor process, safer and can be appropriately promoted.