围产期综合护理对自然分娩的促进作用分析

刘丽玲　刘小蓉

【摘要】 目的：探讨围产期综合护理干预对促进自然分娩的作用。方法：抽取笔者所在医院收治的90例分娩产妇作为研究对象，以随机双盲法分为观察组与对照组。对照组接受围产期常规护理，观察组接受围产期综合护理。记录两组产妇自然分娩率，评估产后疼痛程度，记录总产程时间与产后2 h出血量，实施统计学分析。结果：观察组自然分娩率高于对照组，产后疼痛评分低于对照组，总产程时间短于对照组，产后2 h出血量少于对照组，差异均有统计学意义（P<0.05）。结论：围产期综合护理干预应用在分娩产妇中对自然分娩有促进作用，能提高自然分娩率，缩短产程时间，减少产后出血量，缓解产后疼痛，值得借鉴。

【关键词】 围产期； 综合护理； 自然分娩； 产后疼痛

doi：10.14033/j.cnki.cfmr.2018.22.046 文献标识码 B 文章编号 1674-6805（2018）22-00-02

The Analysis of the Promoting Effect of Perinatal Comprehensive Nursing on Natural Childbirth/LIU Liling，LIU Xiaorong.//Chinese and Foreign Medical Research，2018，16（22）：-94

【Abstract】 Objective：To investigate the effect of comprehensive nursing intervention during perinatal period on promoting natural delivery.

Method：A total of 90 parturients were included in this study and randomly divided into observation group and control group.The control group received routine perinatal care.The observation group received comprehensive perinatal period nursing.Recorded the maternal natural delivery rate of the two groups，assessed the degree of postpartum pain，recorded the total time of labor and postpartum hemorrhage at 2 hours，and performed statistical analysis.Result：The natural delivery rate of the observation group was higher than that of the control group，postpartum pain score was lower than that of the control group，the total time of labor was shorter than that of the control group，and the bleeding volume at 2 hours postpartum was less than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：The perinatal comprehensive nursing intervention can promote the natural delivery in the parturients，improve the natural delivery rate，shorten the labor time，reduce the postpartum hemorrhage and relieve postpartum pain.It is worth learning from.

【Key words】 Perinatal period； Comprehensive care； Natural delivery； Postpartum pain

First-authors address：Xianning Central Hospital，Xianning 437100，China

剖宮产在近几年发生率逐年升高，分析原因在于一部分产妇害怕自然分娩疼痛而选择此种分娩方式，但剖宫产很大程度上会对分娩后康复、泌乳能力产生影响[1]，为此临床提倡自然分娩。为了提高自然分娩率，积极做好产妇围产期护理干预十分关键，通过有效的护理措施促进自然分娩成为近几年产科研究的热点课题。综合护理干预逐渐成熟起来，为了探讨围产期综合护理干预对促进自然分娩的作用，笔者所在医院针对收治的90例分娩产妇进行分组研究，现将结果报道如下。

1 资料与方法

1.1 一般资料

在本次研究中共计收治笔者所在医院2016年1月-2018年1月的分娩产妇90例。纳入标准：患者资料完整，签署知情同意书愿意配合研究；单胎、足月、无严重妊娠并发症，产前检查胎儿发育正常；无高危妊娠因素。排除标准：精神异常或意识障碍、妊娠期合并症。……