摘要
目的探讨不同体位护理在持续性枕横位和枕后位高龄产妇足月妊娠分娩中的应用效果。方法选取我院2019年4—10月收治的持续性枕横位和枕后位高龄足月妊娠产妇90例作为研究对象。将产妇按照第二产程胎头拨露或着冠时体位的差异分成坐位组、站位组、跪趴位组、蹲位组、侧卧位组和截石位组6个组,各15例。比较各组分娩方式,产程时间,产后2 h疼痛、焦虑情况,并记录会阴损伤情况以及新生儿窒息情况。结果侧卧位组顺产人数占比高于截石位组,而剖宫产人数占比低于截石位组(P<0.05)。坐位组、站位组、跪趴位组、蹲位组、侧卧位组第一产程、第二产程时间短于截石位组,而侧卧位组第一产程、第二产程时间均短于坐位组、站位组、跪趴位组、蹲位组(P<0.05)。侧卧位组产后2 h疼痛、焦虑评分低于坐位组、站位组、跪趴位组、蹲位组、截石位组(P<0.05)。侧卧位组产后会阴损伤人数占比低于坐位组、站位组、跪趴位组、蹲位组、截石位组(P<0.05)。结论侧卧位在持续性枕横位和枕后位高龄产妇足月妊娠分娩中的应用效果明显,有利于降低剖宫产以及会阴损伤发生率,同时缩短产程时间,缓解产妇的产后疼痛、焦虑情况,值得临床推广应用。
Objective To explore the application effect of different posture nursing for the full-term pregnancy and delivery of elderly parturient women with continuous occipitotransverse posotion and occipitoposterior position.Methods To select 90 cases of elderly parturient women with full-term pregnancy who underwent continuous occipitotransverse posotion and occipitoposterior position and were admitted to our hospital from April to October 2019 as the study objects.According to the difference in posture during fetal head exposure or crowning in the second stage of labor,the parturient women were divided into 6 groups such as sitting position group,standing position group,kneeling position group,squatting position group,lateral position group and lithotomy position group,with 15 cases of each group.The delivery ways,duration of labor,pain at 2 hours after delivery and anxiety were compared among all groups,and the perineal injury and neonatal asphyxia were recorded.Results The proportion of parturient women who accepted natural birth in the lateral position group was higher than that in the lithotomy position group,however the proportion of parturient women who accepted cesarean section was lower than that in the lithotomy position group(P<0.05).In the sitting position group,standing position group,kneeling position group,squatting position group,and lateral position group,the first stage of labor and the second stage of labor were shorter than those of the lithotomy position group,while the first stage of labor duration and the second stage of labor duration in the lateral position group were shorter than those in the sitting position group,standing position group,kneeling position group,and squatting position group(P<0.05).The pain at 2 hours after delivery and anxiety score in the lateral position group were lower than those in the sitting position group,standing position group,kneeling position group,squatting position group,and lithotomy position group(P<0.05).The proportion of parturient women who had postnatal perineal injuries in the lateral position group was lower than that in the sitting position group,standing position group,kneeling position group,squatting position group,and lithotomy position group(P<0.05).Conclusion The application effect of the lateral position was significant in elderly parturient women with full-term pregnancy who underwent continuous occipitotransverse posotion and occipitoposterior position.It was conducive to reducing the incidence rate of cesarean section and perineal injury,at the same time shortening the duration of labor,and relieving postpartum pain and anxiety of parturient women.It was worthy of clinical promotion and application.
出处
《护理实践与研究》
2020年第9期75-78,共4页
Nursing Practice and Research
基金
江门市卫生健康局科研立项(19A133)。
关键词
枕横位
枕后位
侧卧位
高龄产妇
应用效果
Occipitotransverse posotion
Occipitoposterior position
Lateral position
Elderly parturient women
Application effect
