仿生氣囊助產(chǎn)技術(shù)在自然分娩中的應(yīng)用價(jià)值分析

閔愛萍　羅曉　許洪梅

摘 要：目的 探討仿生氣囊助產(chǎn)技術(shù)在自然分娩中的應(yīng)用價(jià)值。方法 選取2013年5月～2015年12月在我院分娩的400例孕婦，按照隨機(jī)數(shù)字表法分為觀察組和對照組。觀察組238例使用仿生氣囊助產(chǎn)，對照組162例自然分娩。觀察兩組產(chǎn)程時(shí)間、分娩方式、新生兒情況、產(chǎn)婦會陰情況、產(chǎn)后出血情況、宮頸裂傷情況、產(chǎn)褥感染、產(chǎn)后尿潴留情況。結(jié)果 觀察組的第一產(chǎn)程時(shí)間、第二產(chǎn)程產(chǎn)程時(shí)間、總產(chǎn)程時(shí)間均短于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組剖宮產(chǎn)率為8.40%，低于對照組的11.73%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組新生兒平均出生體重、1 min Apgar評分均優(yōu)于對照組，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組陰道分娩率、會陰側(cè)切率、產(chǎn)后出血量均低于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組患者宮頸裂傷發(fā)生率相比，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。兩組均未發(fā)生產(chǎn)褥感染和產(chǎn)后尿潴留。結(jié)論 仿生氣囊助產(chǎn)技術(shù)能提高自然分娩率，降低剖宮產(chǎn)率，減少了母嬰并發(fā)癥，提高分娩安全系數(shù)，有利于母嬰身心健康。

關(guān)鍵詞：圍產(chǎn)醫(yī)學(xué)；仿生氣囊助產(chǎn)；產(chǎn)程；Apgar評分

中圖分類號：R714.3 文獻(xiàn)標(biāo)識碼：A DOI：10.3969/j.issn.1006-1959.2018.22.034

文章編號：1006-1959（2018）22-0121-03

Application Value Analysis of Bionic Air Bag Midwifery Technique in Natural Childbirth

MIN Ai-ping，LUO Xiao，XU Hong-mei，LIANG Qiong-hua，F(xiàn)ENG Xin

（Department of Obstetrics and Gynecology，Leshan People's Hospital，Leshan 614000，Sichuan，China）

Abstract：Objective To explore the application value of bionic air bag midwifery technique in natural childbirth.Methods The 400 pregnant women who gave birth in our hospital from May 2013 to December 2015 were randomly divided into observation group and control group according to the random number table method. In the observation group， 238 patients were assisted with bionic airbags， and 162 patients in the control group were given natural labor. Observed the two groups of labor time， mode of delivery， neonatal condition， maternal perineal condition， postpartum hemorrhage， cervical laceration， puerperal infection， postpartum urinary retention. Results The first stage of labor， the second stage of labor， and the total labor time of the observation group were shorter than the control group，the difference was statistically significant （P<0.05）. The cesarean section rate of the observation group was 8.40%， which was lower than that of the control group （11.73%），the difference was statistically significant （P<0.05）. The average birth weight and 1 min Apgar score of the observation group were better than the control group，the difference was statistically significant （P<0.05）. The vaginal delivery rate， perineal cut rate and postpartum hemorrhage in the observation group were lower than those in the control group， the difference was statistically significant （P<0.05）. There was no significant difference in the incidence of cervical laceration between the two groups （P>0.05）. No sputum infection and postpartum urinary retention were found in either group. Conclusion Bionic airbag midwifery technology can improve the natural delivery rate， reduce the cesarean section rate， reduce the maternal and child complications， improve the safety factor of delivery， and is conducive to maternal and child health.

Key words：Perinatal medicine；Bionic airbag midwifery；Labor；Apgar score

隨著兩孩政策在我國全面實(shí)施，渴望生育兩個(gè)孩子成為大多數(shù)家庭的愿望，因此如何提高我國自然分娩率，降低剖宮產(chǎn)率和減少產(chǎn)后出血越來越受到圍產(chǎn)醫(yī)學(xué)的重視。由于各種因素的影響，使非醫(yī)學(xué)手術(shù)指征的剖宮產(chǎn)率居高不下，有文獻(xiàn)報(bào)告為40%～60%，已引起社會廣泛關(guān)注[1]。而氣囊仿生助產(chǎn)是近年來衛(wèi)生部倡導(dǎo)的產(chǎn)科助產(chǎn)領(lǐng)域的新技術(shù)，可減輕產(chǎn)婦的痛苦，有效解決分娩過程中的諸多問題。本研究收集2013年5月～2015年12月在我科使用KCB-Ⅱ型氣囊助產(chǎn)儀擴(kuò)張宮頸和陰道，促進(jìn)自然分娩的患者，有效降低了剖宮產(chǎn)率，取得了滿意的效果，現(xiàn)報(bào)告如下。

1資料與方法

1.1一般資料 選取2013年5月～2015年12月在樂山市人民醫(yī)院婦產(chǎn)科住院分娩的400例孕婦，本研究通過醫(yī)院倫理委員會批準(zhǔn)。……