劉海燕

摘要：目的：深入研究和探討使用無痛分娩聯(lián)合體位管理對初產(chǎn)婦分娩結(jié)局產(chǎn)生的影響。方法：本研究所選擇的案例為2020年3月-2021年3月期間我院所接診的120例初產(chǎn)婦案例資料，并且按照隨機分組的方式平均將其分為了觀察組和對照組，且每組患者的數(shù)量為60例。對照組患者采用無痛分娩方式，觀察組患者則在患者自愿的情況下采用無痛分娩聯(lián)合體位管理的方式。在生產(chǎn)過程中采用自由舒適的體位直到宮口全開，之后指導(dǎo)產(chǎn)婦用力，直到順利分娩。對比兩組患者生產(chǎn)產(chǎn)程時間、分娩方式等相關(guān)指導(dǎo)。結(jié)果：觀察組患者在采用無痛分娩聯(lián)合體位管理進(jìn)行分娩指導(dǎo)過后第一二產(chǎn)程的時間明顯短于對照組，即（p<0.05），同時自然分娩的概率明顯高于對照組，兩組對比具有統(tǒng)計學(xué)意義。結(jié)論：采用無痛分娩聯(lián)合體位管理的方式可以幫助初產(chǎn)婦更好的掌握用力方式，同時也可以加速產(chǎn)程，降低了出現(xiàn)剖宮產(chǎn)的概率，同時也提高了引導(dǎo)順產(chǎn)分娩的概率，是有效提高母嬰健康的重要舉措，具有極其重要的臨床推廣意義和價值。

關(guān)鍵詞：體位管理;無痛分娩;初產(chǎn)婦;影響

Abstract：Objective：To study the effect of painless delivery combined with body position management on the delivery outcome of primipara. Methods：the cases selected in this study were 120 cases of primipara admitted in our hospital from March 2020 to March 2021，and they were divided into observation group and control group according to random grouping，and the number of patients in each group was 60. The patients in the control group were given painless delivery，while the patients in the observation group were given painless delivery combined with body position management on a voluntary basis. In the process of production，use a free and comfortable position until the uterine mouth is fully opened，and then guide the maternal to exert force until the smooth delivery. The time of labor process and mode of delivery were compared between the two groups. Results：the time of the first and second stage of labor in the observation group was significantly shorter than that in the control group（P < 0.05），the probability of spontaneous delivery was significantly higher than that of the control group，and the comparison between the two groups was statistically significant. Conclusion：the method of painless delivery combined with body position management can help primipara better master the force mode，accelerate the labor process，reduce the probability of cesarean section，and improve the probability of guiding spontaneous delivery，which is an effective way to improve the health of mothers and infants Important measures have extremely important clinical significance and value.

Key words：posture management;painless delivery;primipara;influence

引言：

近些年來伴隨著醫(yī)療條件的不斷改革與發(fā)展，無痛分娩技術(shù)日益成熟，并且被廣泛應(yīng)用到了臨床推廣和實踐的過程當(dāng)中，所謂無痛分娩，實際上就是指在切實保障產(chǎn)婦以及胎兒安全的前提之下，通過采用科學(xué)正確的用藥方式，從而在確保不影響宮縮的狀況下有效阻斷了分娩時候的痛覺神經(jīng)傳遞感受，最終目的是為了切實減輕產(chǎn)婦分娩時的疼痛感。但是，無痛分娩這一手段因為是在抑制必要的疼痛反射，從而減輕宮縮疼痛程度，所以也就會在一定程度上影響和減慢宮口擴張的速度，同時也會在一定程度上增加胎位不正發(fā)生的概率，嚴(yán)重的影響產(chǎn)程。從目前研究的實際進(jìn)展來看，本研究所選擇60例觀察組患者采用無痛分娩聯(lián)合體位管理方法之后，取得了相對較好的臨床效果，促進(jìn)了自然分娩的概率，同時也降低了出現(xiàn)剖宮產(chǎn)的可能，幫助患者提升了無痛分娩率，現(xiàn)報道如下。