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拉玛泽减痛法配合穴位按摩助产应用于高龄初产妇的效果分析
作者:顾红  顾锡凤  陈慧娟  堵敏芳 
单位:无锡市妇幼保健院 临产室, 江苏 无锡 214001
关键词:拉玛泽减痛法 穴位按摩 高龄初产妇 宫缩疼痛程度 产程时间 分娩方式 
分类号:R473.71
出版年·卷·期(页码):2018·46·第五期(556-559)
摘要:

目的:探究拉玛泽减痛法配合穴位按摩助产应用于高龄初产妇对宫缩疼痛程度、产程时间和分娩方式的影响。方法:选取本院2016年3月至8月收治的行常规护理的80例高龄初产妇作为对照组,另选取本院2017年3月至8月收治的行拉玛泽减痛法配合穴位按摩助产的80例高龄初产妇作为观察组。对比两组宫缩疼痛程度、产程时间及分娩方式变化。结果:观察组宫缩疼痛程度均轻于对照组,差异有统计学意义(P<0.05);观察组第一产程、第二产程、第三产程时间均短于对照组,差异均有统计学意义(P<0.05);观察组分娩方式优于对照组,差异有统计学意义(P<0.05)。结论:拉玛泽减痛法配合穴位按摩助产应用于高龄初产妇可有效减轻其宫缩疼痛程度,缩短产程时间,优化分娩方式,值得临床推广。

Objective: To explore Lamaza method combined with acupoint massage midwifery applied in elderly primipara effect on uterine pain, labor time and mode of delivery.Methods: From March 2016 to August 2016 80 elderly primipara receiving routine nursing care were selected as control group, the other 80 elderly primipara from March 2017 to August 2017 receiving ramah ze pain relief method together with the acupuncture point massage as observation group. The degree of contractive pain, the time of labor and the change of delivery mode were compared.Results: During the first stages of the incubation period and the second when ramah ze pain relief method was used together with the acupuncture point massage midwifery, contractions pain degree of observation group were lighter than that of the control group, the difference was statistically significant (P<0.05); In the observation group, the first labor, second and third labor time were both shorter than theose of control group, and the difference was statistically significant (P<0.05). The observation group was superior to the control group, and the difference was statistically significant (P<0.05).Conclusion: Lamaze pain relief combined with acupressure massage midwifery can effectively reduce the degree of uterine contraction pain, shorten the birth time, optimize the mode of delivery, it is worthy of clinical promotion.

参考文献:

[1] 徐惠英,宣凌萍,马锦琪,等.拉玛泽呼吸法联合无创自由体位分娩法对产妇心理状况及分娩质量的影响[J].护理研究,2015,10(36):4557-4558.
[2] 史晓红,张浩,罗凤梅.第二产程指导用力和自主用力对初产妇分娩结局及疲倦度的影响[J].护理学杂志,2016,31(12):23-25.
[3] 刘哲奕.孕期情景模拟访视对初产妇焦虑及分娩结局的影响[J].护理管理杂志,2015,10(7):503-505.
[4] BOUDET-BERQUIER J,SALANAVE B,DESENCLOS J C,et al.Sociodemographic factors and pregnancy outcomes associated with prepregnancy obesity:effect modification of parity in the nationwide Epifane birth-cohort[J].BMC Pregnancy Childbirth,2017,17(1):273.
[5] 瞿伟莉,张瑜,胡祎,等.穴位按摩在初产妇分娩中的应用[J].护理研究,2016,30(30):3788-3790.
[6] 尹桂华.AIDET沟通模式联合导乐分娩对初产妇焦虑及分娩结局的影响[J].护理学杂志,2015,30(8):14-17.
[7] 尹航,刘清,付冰,等.根据产前生物-心理-社会因素预测产后抑郁的研究现状[J].中国护理管理,2017,17(3):405-409.
[8] WU Z H,YU Y,ALUGONGO G M,et al.Short communication:effects of an immunomodulatory feed additive on phagocytic capacity of neutrophils and relative gene expression in circulating white blood cells of transition Holstein cows[J].J Dairy Sci,2017,100(9):7549-7555.
[9] 石娟,王彩珊,勇霞,等.针刺昆仑穴联合拉玛泽呼吸减痛法干预产妇分娩疼痛的研究[J].护理学报,2016,10(1):62-64.
[10] 刘嘉,冯世萍,陈铭红,等.应用标准化助产流程对初产妇自然分娩影响的研究[J].护理管理杂志,2016,16(2):123-125.
[11] 李一美,邵慧静,方晓红,等.第二产程延迟屏气对硬膜外分娩镇痛初产妇分娩结局的影响[J].中国护理管理,2016,16(3):319-322.
[12] TRAN D T,HAVARD A,JORM L R.Data cleaning and management protocols for linked perinatal research data:a good practice example from the Smoking MUMS (Maternal Use of Medications and Safety) Study[J].BMC Med Res Methodol,2017,17(1):97.
[13] 邓菊芳.拉玛泽呼吸法联合分娩球在初产妇分娩中的应用[J].护理学报,2015,10(14):50-51.
[14] 陈庆,胡,徐洁.平产后会阴水肿的治疗与护理研究进展[J].上海护理,2015,10(4):54-57.
[15] SWITKOWSKI K M,JACQUES P F,MUET A,et al.Higher maternal protein intake during pregnancy is associated with lower cord blood concentrations of insulin-like growth factor (IGF)-Ⅱ,IGF binding protein 3,and insulin,but not IGF-I,in a cohort of women with high protein intake[J].J Nutr,2017,147(7):1392-1400.
[16] 周梦琳,郭尹佳,杨燕.剖宫产术后阴道分娩的指征评估研究进展[J].上海护理,2017,17(1):67-70.
[17] 黄蓉,侯燕文,万宏伟,等.助产士主导的"温柔生产"集束化模式对自然分娩影响的临床研究[J].中国实用护理杂志,2015,31(20):1483-1486.
[18] 陈亭亭.瑞芬太尼自控镇痛泵对分娩的镇痛作用及对产程的影响[J].东南大学学报(医学版),2016,35(4):589-592.

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