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目的探讨自然分娩过程中应用基础按摩程序的效果和安全性。方法回顾分析2014年4月至2015年6月在我院产科105例自然分娩产妇的临床资料,根据分娩过程中是否采用基础按摩程序分为观察组50例和对照组55例。对照组按照传统自然分娩流程进行;观察组在传统自然分娩的基础上,辅以个性化基础按摩程序。比较两组产妇自然分娩过程中的疼痛评分、镇痛药物的使用量、产程时间、产后出血、尿潴留、中转剖宫产率及新生儿窒息情况。结果观察组产时使用安定针(5.6±0.8)mg、杜冷丁(48.5±7.0)mg,VAS评分为(5.0±1.2)分,对照组产时使用安定针(7.6±1.4)mg、杜冷丁(76.0±8.0)mg,VAS评分为(7.5±1.4)分,两组比较差异具有统计学意义(P<0.05)。观察组产程时间为(10.48±1.52)h,中转剖宫产率为12.0%(6/50),尿潴留发生率为6.0%(3/50),均低于对照组的(11.65±1.75)h、27.2%(15/50)、21.8%(12/50),两组比较差异均有统计学意义(P<0.05)。观察组产后出血量为(148.5±23.5)m L,新生儿窒息发生率为2.0%(1/50),Apgar评分为(8.2±0.4)分,均低于对照组的(153.4±27.8)m L、3.6%(2/50)、(8.1±0.5)分,但两组比较差异无统计学意义(P>0.05)。结论基础按摩程序有助于促进自然分娩,不增加相关并发症,具有较好安全性。
Objective To explore the effect and safety of applying basic massage procedure during spontaneous labor. Methods The clinical data of 105 cases of spontaneous labor in obstetrics from April 2014 to June 2015 in our hospital were retrospectively analyzed. According to whether the basic massage procedure was used in delivery, 50 cases were divided into observation group and control group. Control group in accordance with the traditional natural delivery process; observation group in the traditional natural delivery, supplemented by personalized basis massage procedure. The pain scores, the amount of analgesics, labor time, postpartum hemorrhage, urinary retention, cesarean section rate and neonatal asphyxia during spontaneous labor were compared between the two groups. Results The observation group was given stable doses of (5.6 ± 0.8) mg, pethidine (48.5 ± 7.0) mg, and VAS scores of (5.0 ± 1.2) at the time of delivery. The control group received fastigial needle (7.6 ± 1.4) mg, (76.0 ± 8.0) mg, VAS score was (7.5 ± 1.4) points, the difference between the two groups was statistically significant (P <0.05). The duration of labor in the observation group was (10.48 ± 1.52) h, the rate of cesarean section was 12.0% (6/50) and the rate of urinary retention was 6.0% (3/50), both of which were lower than those of the control group (11.65 ± 1.75) h, 27.2% (15/50) and 21.8% (12/50), respectively. There were significant differences between the two groups (P <0.05). Postpartum hemorrhage volume in observation group was (148.5 ± 23.5) m L, incidence of neonatal asphyxia was 2.0% (1/50) and Apgar score was (8.2 ± 0.4) points lower than that in control group (153.4 ± 27.8) m L, 3.6% (2/50) and (8.1 ± 0.5) points, respectively. However, there was no significant difference between the two groups (P> 0.05). Conclusion The basic massage procedure helps to promote natural childbirth without increasing the related complications and has good safety.