护理干预在无痛分娩中应用价值探析.doc

护理干预在无痛分娩中应用价值探析【摘要】目的：探讨护理干预在无痛分娩中的应用价值及意义。方法：选择我院自2009年7月至2010年8月收治的在我院产科分娩的、自愿要求行分娩镇痛的孕妇280例作为观察对象，所有孕妇均为足月单胎、头位，孕37周~41周。将280例患者随机分为两组，对照组140例，给予产科常规护理；实验组140例，除给予常规护理外还对患者进行护理干预，以比较两组患者在产程时间、镇痛效果、分娩并发症以及抑郁量表评分中的差异。结果：实验组产妇在产程时间、镇痛效果、分娩并发症以及抑郁量表评分中均显著低于对照组产妇，差别具有显著意义。结论：护理干预在无痛分娩中有着良好的应用价值，值得临床借鉴。 【关键词】护理干预；无痛分娩探讨 NUrsing Intervention in painless delivery of Value Yuan Yuqing （Shuangliu County, Sichuan Province, the First People’s Hospital of Sichuan Shuangliu 6,102,110） 【Abstract】Objective: To investigate the nursing intervention in the application of painless labor in value and significance. Methods: in our hospital from July 2009 to August 2010 were treated in our hospital obstetric delivery, and voluntary request line 280 cases of pregnant women in labor analgesia as the observed object, all pregnant women are full-term single fetus, cephalic, 37 weeks to 41 weeks pregnant. The 280 patients were randomly divided into two groups, control group 140 patients given routine obstetric care; experimental group of 140 cases, in addition to the routine care of patients outside of nursing intervention is also to compare the two groups of patients in labor time, the analgesic effect, delivery complications and depression scale in the difference. Results: The woman in labor time, analgesia, delivery complications and depression scale scores were significantly lower than control group mothers, and the difference was significant. Conclusion: nursing intervention in painless childbirth has a good value and is worthy of reference. 【Key words】painless delivery of nursing intervention Discussion 分娩时引起的疼痛，往往会导致产妇的情绪变得紧张和恐惧。一方面，产妇在宫缩时容易发生躁动、焦虑，从而消耗体力，影响正常地产程进程；另一方面，分娩时的疼痛往往会导致产妇的交感神经兴奋，释放更多的儿茶酚胺类物质，从而抑制其宫缩和子宫血管的收缩，导致产程延长[1]。此外，严重的酸碱失衡还容易导致胎儿窘迫、产妇产后抑郁等症状。因此，临床护理人员在常规护理的基础上，如何通过有效的护理干预协助产科医生，对于减轻甚至消除产妇在分娩时的疼痛极为重要。 无痛分娩是指在保证产妇及其胎儿安全的前提下，通过临床正确用药，一方面不影响产妇的子宫规律性收缩一方面有效阻断产妇的痛觉神经末梢传递，从而有效减轻甚至避免产妇在分娩时的疼痛[2]。我院选择自2009年7月至2010年8月收治的在产科分娩的、自愿要求行分娩镇痛的孕妇280例作为观察对象，进行