人性化管理在初产妇分娩中的应用效果

来源:用户上传      作者: 王文玉

　　[摘要] 目的 探讨人性化管理在初产妇分娩中的应用效果。 方法 选取2010年6月之后在我院足月分娩的初产妇50例为观察组，2010年6月以前在我院足月分娩的产妇50例为对照组。对照组给予常规产房产程管理，观察组在对照组基础上实施人性化管理。比较两组心理状态、分娩方式、出血量及新生儿状况。 结果 观察组焦虑率和SAS评分均显著低于对照组（P ＜ 0.01），自然分娩显著多于对照组（P ＜ 0.05），剖宫产率显著少于对照组（P ＜ 0.05），产时出血量和产后出血量显著少于对照组（P ＜ 0.05），新生儿窒息率显著低于对照组（P ＜ 0.05），Apgar评分显著高于对照组（P ＜ 0.05）。 结论 人性化管理能有效减轻初产妇焦虑情绪，减少产妇出血，提高自然分娩率和新生儿出生质量，值得临床推广应用。
　　[关键词] 人性化管理；初产妇；分娩
　　[中图分类号] R473.71 [文献标识码] C [文章编号] 1673-7210（2012）07（c）-0122-03
　　Application effect of humanized management on unipara parturition
　　WANG Wenyu
　　Department of Obstetrical, the People's Hospital of Dazu District in Chongqing City, Chongqing 402360, China
　　[Abstract] Objective To investigate the effect of humanized management on unipara parturition. Methods 50 cases of unipara with term delivery after June 2010 in our hospital were selected as the observation group, 50 cases of unipara with term delivery in our hospital before June 2010 were selected as the control group. The control group received the conventional delivery room premature management; on the basis of the control group, the observation group was implemented humanized management. The mental status, mode of delivery, blood loss and neonatal condition were compared between the two groups. Results The anxiety rate and SAS scores of the observation group were significantly lower than those of the control group (P < 0.01); spontaneous labor rate was significantly higher than the control group (P < 0.05); cesarean section rate was significantly lower than the control group (P < 0.05); the intrapartum and postpartum blood loss were significantly less than the control group (P < 0.05); neonatal suffocation rate was significantly lower than the control group (P < 0.05); Apgar score was significantly higher than the control group (P < 0.05). Conclusion Humanized management can effectively reduce the anxiety emotion of unipara, reduce bleeding, and improve the spontaneous labor rate and the quality of neonatus, which is worthy of clinical application.
　　[Key words] Humanized management; Unipara; Parturition
　　分娩是自然生理过程，但对产妇却是一种应激，尤其是初产妇，极易出现焦虑、抑郁等复杂的心理变化，影响分娩进程和妊娠结局，增加产后出血、新生儿窒息等并发症[1]。为消除或减轻这种不良影响，使产妇以较好的心理状态适应分娩过程，我院从2010年6月对分娩产妇实施人性化管理，取得了满意效果，现总结报道如下：
　　1 资料与方法
　　1.1 一般资料
　　选取自2010年6月在我院足月分娩的初产妇50例为观察组，同时按1∶1的比例随机选择2010年6月以前在我院足月分娩的产妇50例为对照组。两组产妇均为单胎，头位、骨盆正常，且胎动、胎心正常，妇科检查及B超证实子宫大小与孕周相符合，无全身性、遗传性疾病及其他妊娠合并症、并发症。两组产妇年龄、孕周、体重、文化程度等一般资料经统计学比较，差异无统计学意义（P ＞ 0.05），有可比性。见表1。
　　1.2方法
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