產程中體位干預對陰道分娩的臨床效果研究

譚文換

【摘要】 目的：對產婦在產程中采取不同體位，探討體位干預對陰道分娩的臨床效果。方法：選取筆者所在醫院收治的120例分娩產婦，按照產婦意愿分成兩組，對照組產婦60例，產程中采取傳統體位；研究組產婦60例，產程中根據產婦情況采取不同體位干預，如坐蹲位、仰（側或半）臥位、走立位等自由體位。比較兩組產程時間、分娩方式及生產時母嬰情況。結果：（1）研究組產婦采取體位干預后，各產程時間均短于對照組，對比差異有統計學意義（P<0.05）。（2）研究組胎位異常糾正例數、陰道分娩率明顯高于對照組，產婦會陰裂傷率、會陰側切率及肩難產率明顯低于對照組，兩組對比差異有統計學意義（P<0.05）。（3）兩組產后出血量與新生兒窒息發生情況相當，對比差異無統計學意義（P>0.05）。結論：對產婦在產程中采取體位干預，選擇合適的體位有利于縮短產程時間，糾正胎位異常并提高陰道分娩率，減少產婦分娩痛苦，對于促進陰道分娩具有重要的價值。

【關鍵詞】 體位干預； 陰道分娩； 效果

doi：10.14033/j.cnki.cfmr.2017.6.060 文獻標識碼 B 文章編號 1674-6805（2017）06-0105-02

The Clinical Effect of Body Positions Intervention on Vaginal Delivery/TAN Wen-huan.//Chinese and Foreign Medical Research，2017，15（6）：105-106

【Abstract】 Objective：Taking different body positions in the process of labor，to explore the clinical effect of body position intervention on vaginal delivery.Method：120 cases of puerpera were chose and divided into two groups.The control group 60 cases took common body positions，and the research group 60 cases took different body positions，such as squat，supine（lateral position，half-lying），standing position.Compared the time of labor，delivery manners and status of mothers and infants.Result：（1）The time of labor of the research group was significantly shorter than that of the control group（P<0.05）.（2）The rate of malposition correction and vaginal delivery in the research group were significantly higher than the control group（P<0.05）.And the rate of severe perineal laceration，lateral episiotomy and hard yield of shoulder were significantly lower than those in the control group（P<0.05）.（3）The amount of postpartum hemorrhage and neonatorum asphyxia of the research group were equal to the control group（P>0.05）.Conclusion：Taking different body positions intervention on vaginal delivery can reduce the labor time， correct fetal position，increase the rate of vaginal delivery and reduce maternal pain.It has important value for the promotion of vaginal delivery.

【Key words】 Body positions intervention； Vaginal delivery； Effect

First-authors address：Guigang Second Peoples Hospital，Guigang 537132，China

隨著人們生活節奏的加快，身體體質的變化及一些社會因素，與以往相比，產婦進行剖宮產情況也隨之增多，同時剖宮產引起的多并發癥嚴重影響了母嬰的身心健康[1]。傳統的產程體位多為仰臥位，雖然有利于醫護人員觀察并做相關檢查與監測，但是由于仰臥位限制了產婦姿勢，帶來各種不利因素，使得生產時產婦疼痛增加，產程時間長，剖宮產率高[2]。近年來國內外大量學者研究指出，產程體位對提高陰道分娩率具有很大的影響。本文探討自由體位干預對陰道分娩的臨床效果影響，現報告如下。

1 資料與方法

1.1 一般資料

選取2015年2-12月筆者所在醫院收治的120例足月產婦，根據產婦意愿分為傳統仰臥體位或自由體位兩組。……