-应用分娩球在活跃期纠正枕后位的观察与护理.docVIP

应用分娩球在活跃期纠正枕后位的观察与护理 张莹 林岸芸* 路妍妍 萧慧娟 武彦 （广州医学院第二附属医院产科，广州，510260） 摘要 目的 ：探讨分娩球运动在活跃期纠正枕后位的效果。方法：选择在活跃期胎方位确诊为枕后位的初产妇200例，分为观察组（分娩球）组和对照组（侧卧位组）各100例，观察两组阴道分娩率，产后出血量和疼痛缓解率。 结果：观察组剖宫产率和产后出血量低于对照组，差异均有统计学意义。观察组比对照组有更好的缓解疼痛的效果。结论：分娩球应用于第一产程活跃期能减少产后出血量、促进自然分娩、缓解产痛。 关键词：第一产程 分娩球 枕后位 分娩 Observation and Nursing on Correction of Occipito-posterior (OP) by Rectifying Posture with Childbearing Ball During the Active Phase Zhang Ying , Lu Yanyan , Xiao Huijuan ,Lin Anyun,Wu Yan (Department of Obstetrics, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510260) ABSTRACT Objective: To investigate the effect of correction of occipito-posterior (OP) by rectifying posture with childbearing ball during parturition. Metheds: 200 primipara with OP in the active phase were selected. 100 pregnant volunteer received the training of childbearing ball were chosen to the study group, other 100 pregnant women who acceptted the contralateral posture to correct the OP were selected as the control group. The spontaneous labor rate, the postpartum blood loss and the pain relief rate were observed. Results: In study group, the rate of abdominal delivery and the postpartum blood loss was reduced significantly (P0.01). The pain was significantly less in study group than those in control group (P0.01). Conclusions: Childbearing ball during the first labor process plays a positive role in reducing postpartum blood loss, raising the ratio of spontaneous delivery, and releasing the pain of childbirth. Keywords: active phase; childbearing ball; occipito-posterior; childbirth 在分娩过程中，胎头以枕后位或枕横位衔接。在下降过程中，胎头枕部因强有力宫缩绝大多数能向前转135°或90°，转成枕前位自然分娩。仅有5％～10％胎头枕骨持续不能转向前方，直至分娩后期仍位于母体骨盆后方，致使分娩发生困难者，称持续性枕后位。国外报道发病率均为5％左右。前后、左右数据以均数±标准差±s）表示，应用SPSS1.0软件进行分析，组间比较采用检验，P0.05为差异具有显著性。两组表表两组分娩比较nχ2检验，χ2=13.07，P=0.00，认为观察组的剖宫产率明显低于对照组。 2.2两组表产后出血比较±s) 组别 产后2小时出血量(ml) 观察组(n=100) 259.75±81.23 对照组（n=100） 311.95±119.04 F值 2.127 P值 0.00 观察组产后2小时出血量低于对照组，差异具有统计学意义(P0.05) 2.3两组表表两组分娩比较χ