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目的通过观察拉玛泽呼吸法在初产妇分娩过程中的应用,分析其对促进自然分娩的临床效果。方法随机选取2014年8月~2015年9月在潍坊医学院附属医院孕妇课堂中接受过拉玛泽呼吸法训练并在分娩时给予呼吸指导的120例初产妇作为观察组;选取同期分娩的120例只接受常规产检和分娩处理的初产妇作为对照组,比较两组产妇母儿分娩结局。结果观察组剖宫产率及会阴切开率均低于对照组,新生儿生后1min Apgar评分优于对照组,两组比较差异均有统计学意义(P<0.05)。结论拉玛泽呼吸法能有效降低初产妇剖宫产率及会阴切开率,提高新生儿出生Apgar评分,保障母婴健康,促进自然分娩,值得临床推广应用。
Objective To observe the clinical effect of Lamaze respiration method in the delivery of primipara and analyze its effect on promoting natural childbirth. Methods A total of 120 primipara from November 2014 to September 2015 in the pregnant women’s classroom of Weifang Medical College Hospital who were trained by Lamaze respiration method and were given respiratory guidance during childbirth were selected as the observation group. 120 Cases received only routine check-up and delivery of primipara as a control group, maternal and child childbirth between the two groups were compared. Results The rate of cesarean section and the rate of perineal incision in the observation group were lower than those in the control group. The Apgar score at 1 minute after birth was better than that in the control group. There was significant difference between the two groups (P <0.05). Conclusion Lamaze respiration method can effectively reduce the cesarean section rate and perineal incision rate of primipara, improve neonatal Apgar score, protect the health of mothers and children, and promote natural childbirth, worthy of clinical application.