LDRP分娩模式对产科质量影响.docVIP

LDRP分娩模式对产科质量影响 　　[摘要] 目的 分析LDRP分娩模式对产科质量产生的影响。方法 整群选取2015年12月―2016年3月期间，在该院进行分娩的76例产妇作为研究对象，并根据临床分娩服务方式的不同分成2组其中，28例观察组产妇生产前、产时以及产后，均在同一个LDRP产房完成；由高职医师负责产程的监视，以及资深助产士与儿科医师进行全程服务； 分娩全程可由家属陪伴。48例对照组产妇临产时才从普通病房转入待产室，并且不允许家属在床旁陪伴。对比2组产妇的产科质量。结果 观察组产妇的分娩体验满意度28/28，显著优于对照组产妇44/48，对比差异有统计学意义（χ2=4.32，P0.05）；观察组产妇在尿潴留率3.57%、伤口感染率0.0%、总产程时间（8.02±1.57）h、产后24 h 出血量（112.58±26.73）mL、新生儿评分8～10分占96.43%等多个方面，均较对照组有优势，组间对比差异有统计学意义（P0.05）。结论 LDRP分娩模式的应用，可有效降低产妇尿潴留发生率，对提高母乳喂养率具有促进作用，产妇及其家属对LDRP分娩模式的应用满意度高，值得临床采纳与推行。 　　[关键词] LDRP；分娩模式；产科质量 　　[中图分类号] R246.3 [文献标识码] A [文章编号] 1674-0742（2016）09（c）-0065-03 　　[Abstract] Objective To analysis of influence of LDRP delivery mode on obstetric quality. Methods Group selected during December 2015 to March 2016， 76 cases of maternal birth in our hospital as the research object， and according to the delivery service in the clinical divided into two groups which， 28 cases were observed in all groups of maternal production before， intrapartum and postpartum， both in the same LDRP delivery room completed； by vocational physicians responsible for the production process monitoring， and senior midwife and pediatrician full service； delivery of the entire process can be accompanied by family members. 48 cases of control group parturient only from the common ward into the labour room， and does not allow family members to accompany beside the bed. Compared with the 2 groups of maternal obstetric quality. Results Observation group， maternal childbirth experience satisfaction 28 / 28， was significantly better than the control group of women 44 / 48， compared to the presence of statistically significant （χ2=4.32， P 0.05）； observation group maternal urinary retention in the rate is 3.57%， wound infection rate was 0.0%， total labor time （8.02 ± 1.57） h， 24h postpartum hemorrhage（112.58 ±26.73） mL， neonatal score 8～10 points accounted for 96.43% and multiple aspects， were lower than those in the control group have an advantage， group contrast exists statisti