气囊仿生助产在初产妇自然分娩中价值探讨.docVIP

气囊仿生助产在初产妇自然分娩中价值探讨 　　[摘要]目的 探讨气囊仿生助产在初产妇自然分娩中的临床价值。方法 选择2016年8月～2017年8月在我院收治的经阴道分娩初产妇80例，按随机数字表法分为观察组和对照组，每组40例，对照组行常规阴道分娩，观察组辅以气囊仿生助产，对产妇第一产程与第二产程时间进行统计，对两组新生儿出生后1 min和5 min Apgar评分进行统计，同时对这两组干预不同时间点疼痛程度进行分析。疼痛评分以视觉模拟疼痛评分进行。结果 观察组第一产程和第二产程耗时均显著短于对照组（P0.05），观察组1 min Apgar评分高于对照组（P0.05），观察组5 min Apgar评分高于对照组（P0.05），观察组第二产程、产后24 h内和出院时，其疼痛VAS评分均显著低于对照组（P0.05）。结论 对于初产妇行气囊仿生助产，可显著缩短产程，减轻产妇疼痛，提高分娩安全性。 　　[关键词]气囊仿生助产；初产妇；自然分娩 　　[中图分类号] R717 [文献标识码] A [文章编号] 1674-4721（2018）1（b）-0185-03 　　[Abstract]Objective To investigate the clinical value of airbag biomimetic midwifery in natural delivery of primipara.Methods 80 cases of vaginal delivery from August 2016 to August 2017 were randomly divided into two group.The control group were received routine vaginal delivery.The observation group was supplemented with airbag biomimetic midwifery.Then the maternal first stage of labor and the second time of labor statistics，the two groups of neonatal birth 1 min and 5 min after the Apgar score statistics，the two groups at different time points with pain were compared.Results The Apgar score with 1 min in the observation group was higher than that of the control group （P0.05）.The Apore score with 5 min in the observation group was higher than that of the control group （P0.05）.The VAS score in the observation group was significantly lower than control group with the second stage of labor，24 hours postpartum and discharge （P0.05）.Conclusion For the first generation of women with balloon bionic midwifery can significantly shorten the labor and reduce maternal pain，so it can improve childbirth safety. 　　[Key words]Balloon Bionic Midwifery；Primipara；Natural Childbirth 　　经阴道分娩为人类的本能生理过程，当足月妊娠后出现规律的子宫收缩[1]，则意味着分娩过程的开始。此时的首选是经阴道分娩[2]。但随着人们生活质量的改善，生活环境的变化等，巨大儿孕育比例明显增加，给经阴道分娩提出新的挑战。研究称[3]，经阴道分娩通过产道的挤压、从而提高新生儿肺功能，相对于剖宫产、其作为一种正常的分娩方式被首选推荐，但在分娩过程中部分产妇需要行会阴侧切以提高阴道分娩率及减少会阴撕裂率[4]，但毕竟为有创性操作，可能导致术后的产褥感染并影响阴部美观。气囊仿生助产技术是近年来一种新型的助产技术，通过产科专用气囊结合计算机程序化调控与人工调整，控制产科气囊的充气、放气过程，从而起到外界模拟胎头下降过程，有效扩张产道，提高自然分