不同的干预方法对初产妇第2产程的影响

目的 探讨长强穴按压及阴道按压的方法 对初产妇第2产程的影响.方法 将180例初产妇随机分为3组,每组60例,分别对进入第2产程的初产妇采用长强穴按压(长强穴按压组)、阴道按压(阴道按压组)和常规指导(对照组)的方法 进行干预.对3组子宫收缩持续时间、第2产程时间、产后2 h阴道流血量、分娩方式、会阴损伤情况、新生儿出生情况进行评估.结果 长强穴按压组、阴道按压组各项指标与对照组比较有显著差异.长强穴按压组、阴道按压组2组比较无显著差异.结论 初产妇第2产程运用长强穴按压及阴道按压的方法干预能促进第2产程进展,降低剖宫产率及新生儿窒息率,提高产科质量.

Abstract：

Objective To study the influence on primipara's second stage of labor with the methods of Changqiang-pressing and Vaginal-pressing. Methods 180 primipara in the second stage of labor were randomly divided into 3 groups of 60 each, in which Changqiang-pressing, Vaginal-pressing and general guidance (the control group) were used respectively. The duration of uterine contraction and second stage of labor, vaginal bleeding amount in 2 hours after delivery, mode of delivery, perineal injury and birth case would be evaluated. Results The results in both Changqiang-pressing group and Vaginal-pressing group were statistically significant when compared with the control group, but there was no significant difference between Changqiang-pressing group and Vaginal-pressing group. Conclusions Using Changqiang-pressing and Vaginal-pressing can promote the progress of the second stage of labor for primipara, reduce the rate of cesarean section and neonatal asphyxia, and improve the quality of obstetric department.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对宫颈癌患者放疗后并发症的影响

Objective To investigate the nursing intervention on the complication after radiotherapy of cervical cancer patients.Methods A total of 130 cervical cancer patients undergoing radiotherapy were randomly divided into two groups:control group was given conventional methods only treatment and care,while the observation group was given additional routine treatment and care according to the situation in which two radiation therapy in patients with stages of psychological nursing,health education,guidance,individualized care and symptomatic treatment intervention,and then the number of cases of complications for the patients as well as the degree of satisfaction were compared.Results After the first phase of the second phase,the incidence of complications was significantiy lower in observation group than that of the control group,the degree of satisfaction was significantly higher (P＜0.05) .Conclusions The implementation of nursing intervention for cervical cancer patients undergoing radiotherapy can be effective in reducing the incidence of complications and improve patients' satisfaction.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

Fisher判别分析在预测异位妊娠中的价值探讨

Objective To discuss the value of Fisher discriminant analysis of serum progesterone and the growing rate of β-human chorionic gonadotropin in the prediction of early ectopic pregnancy. Methods 66 patients with ectopic pregnancy (11 cases were successfully treated expectantly and 55 cases were treated surgically including 40 cases of rupture of fallopian tube and 15 cases of tubal abortion) and 55 patients with intrauterine pregnancy and 50 patients with threatened abortion were chosen. Serum progesterone,β-HCG,48 hβ-HCG and the 48 h growing rate of β-HCG in each group were measured and a Fisher discriminant analysis was used. Results The serum progester-one was (30.27± 18.20) nmol/L in ectopic pregnancy group,( 108.44±23.27 ) nmol/L in intrauterine pregnancy group and (91.68±34.90) nmol/L in threatened abortion group. The first β-HCG was ( 3767.63 ± 3530.38 ) U/L in ectopie pregnancy group,(29 028.65 ± 10 874.01 )U/L in intrauterine pregnancy group and (13 457.47±16 367.65)U/L in threatened abortion group. The second β-HCG was (4349.24±3536.22)U/L in ectopic pregnancygroup,(56 139.46 ± 23 296.87 ) U/L in intrauterine pregnancy group and (23 270.63 ± 23 811.68 ) U/L in threat-ened abortion group. The growing rate of β-HCG ( β-HCG/the first serum β-HCG) was 1.29 ± 0.28 in ectopic preg-nancy group,1.93 ± 0.36 in intrauterine pregnancy group and 1.97±0.28 in threatened abortion group. There was significant difference in serum progesterone,the first β-HCG and the second β-HCG as well as the growing rate of β-HCG among the groups(P<0.05 or <0.01). Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG were connected with diagnosis of ectopic pregnancy,however,the only one serum β-HCG was not con-nected with diagnosis of ectopic pregnancy. 98.5% of ectopic pregnancy,65.6% of intrauterine pregnancy and 64.0% of threatened abortion were correctly classified in the Fisher discfiminant analysis,with overall correct rate of 77.8%. Conclusion Fisher discriminant analysis of combing progesterone and the growing rate of β-HCG can bet-ter predict the early ectopic pregnancy.     

实施分娩期体位护理的临床体会

目的探讨分娩期体位护理对缩短产程、促进自然分娩、降低剖宫产率、减少产后出血及新生儿窒息发生率的作用。方法选择我院2003年3月至2004年3月216例孕妇为实验组,在孕妇人产房待产时,第一产程根据孕妇具体情况采取自由体位、坐位、半卧位、胎儿脊柱同侧侧俯卧位,第二产程采取膀胱截石位加半卧位,第三产程取平卧位。随机抽取2002年孕妇190例作为对照组。观察两组产妇各产程时间、分娩方式、新生儿Apgar评分、产后出血等。结果实验组第一产程、第二产程、总产程时间均较对照组缩短,自然分娩率较对照组提高涪0宫产率和阴道助产率明显下降,新生儿窒息及产后出血明显减少,两组比较有统计学意义（P〈O,01）。结论实施分娩期体位护理,有利于缩短产程,提高自然分娩率,提高分娩质量,利于母婴健康。     

第二产程分阶段自由体位在产妇分娩中的应用效果

目的探究第二产程分阶段自由体位在产妇分娩中的应用效果。方法选择于我院分娩的88例产妇作为研究对象,采用数字随机表法将其分为对照组和观察组,各44例。对照组第二产程取常规仰卧位或半卧截石位,观察组第二产程选择分阶段自由体位。比较两组的分娩方式、第二产程时间、自主用力时间、产后出血量、生殖道损伤及新生儿窒息发生情况。结果观察组的自然分娩率高于对照组,第二产程时间和自主用力时间短于对照组,产后出血量少于对照组,会阴侧切、宫颈裂伤、会阴裂伤发生率低于对照组(P<0.05)。两组的新生儿窒息发生率无显著差异(P>0.05)。结论在第二产程实施分阶段自由体位分娩可提高产妇的阴道分娩率,缩短产程时间,降低生殖道损伤的发生风险,值得推广。     

产妇分娩第二产程取半卧曲大腿蹬足体位的分析

目的探讨半卧曲大腿蹬足体位对产妇分娩第二产程的影响.方法选择足月单胎头位、无明显头盆不称且无严重合并症的初产妇300例,按入院顺序分为观察组150例和对照组150例,观察组产妇第二产程取半卧曲大腿蹬足体位,对照组取膀胱截石位.结果观察组第二产程时间明显短于对照组(P＜0.01),阴道助产率、肩难产发生率及新生儿窒息率低于对照组.结论半卧曲大腿蹬足体位可缩短产妇第二产程时间,降低阴道助产率、肩难产发生率及新生儿窒息率.     

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

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。     

慢性乙型肝炎经阴道分娩产妇第二产程中实施侧卧位自主分娩的效果分析

目的探讨慢性乙型肝炎经阴道分娩产妇在第二产程中实施侧卧位并配合自主用力的分娩方式,对乙肝母婴传播率和分娩结局的影响。方法选取2018年2—9月在首都医科大学附属北京佑安医院经阴道分娩的200例慢性乙型肝炎初产妇,按随机数字表法随机分为观察组和对照组,每组100例。观察组在第二产程中选择侧卧位并自主用力,对照组采用常规的膀胱截石位,比较两组分娩结局和HBV母婴传播率。结果观察组第二产程时间(41.91±22.43)min,产时出血量(135.00±62.16)ml,均低于对照组,差异有统计学意义(t值分别为2.057、2.234;P<0.05)。观察组会阴侧切10例,低于对照组;自然裂伤90例,高于对照组,差异均有统计学意义(P<0.05);观察组无手术助产及新生儿窒息情况,对照组分别为3例和2例,但差异无统计学意义(P>0.05)。两组新生儿出生时检测HBsAg阳性检出者,观察组为12例,对照组为18例,差异无统计学意义(P>0.05);两组新生儿7月龄时检测,均无HBsAg阳性检出者。结论乙肝病毒携带产妇在第二产程中采用侧卧位并配合自主用力的分娩方式,不会增加乙肝母婴传播风险,能够有效缩短第二产程的时间、减少会阴部的损伤及产时出血量、降低新生儿产时暴露的机会,母婴结局良好。     

康乐待产的护理效果观察

[目的]通过开展康乐待产,使潜伏期和第一产程时间明显缩短,产后出血量减少。[方法]选择从2005年3月—2006年12月正常分娩孕妇190例,随机分为观察组100例和对照组90例,观察组实施康乐待产服务,即由产妇选定一位家属陪伴,对照组无家属陪伴。[结果]观察组潜伏期与第一产程的时间明显比对照组缩短(P<0.05),产后出血量也比对照组显著减少(P<0.05)。[结论]观察组减少了并发症的发生,同时也提高了护理质量。     

水中分娩对产程的影响

目的探讨水中分娩对产程的影响。方法选取水中分娩产妇（实验组）与传统分娩产妇（对照组）各30例做比较，观察两组产妇在第一产程活跃期、第二产程时间方面的差异。结果实验组的第一产程活跃期较对照组缩短，差异有显著性（P〈0．05）。第二产程时间实验组长于对照组，但差异无显著性（P〉0．05）。结论水中分娩可以缩短产程，降低分娩的风险。     

水中分娩产妇活跃期及第二产程时间的观察

目的探讨水中分娩产妇与传统分娩产妇活跃期、第二产程时间的差异。方法选择2006年10月-2007年5月单胎、足月、头位、一产、无任何疾病及合并症采取水中分娩的产妇40例为观察组,同期一般情况类似的采取传统阴式分娩的产妇45例为对照组。观察组经胎心监护仪测试30min以上,经医师阴道检查,胎心音、宫缩、胎位正常,宫口开大3cm后,进入专业分娩缸,每10～15min听胎心了解胎心音变化,采取舒适自由的坐、蹲、跪等体位进行水中分娩;对照组按传统的接生方法,经检查宫口开大3cm后,产妇以产床床头抬高30°截石位或双腿伸直躺在产床上待产。比较两组活跃期及第二产程的时间。结果两组活跃期时间比较,观察组明显少于对照组,差异有统计学意义（P〈O．05）;第二产程时间比较,差异无统计学意义（P〉O．05）。结论水中分娩能缩短产妇活跃期时间,使第二产程回归自然,体位舒适。     

康乐待产的护理效果观察

[目的]通过开展康乐待产，使潜伏期和第一产程时间明显缩短，产后出血量减少。[方法]选择从2005年3月-2006年12月正常分娩孕妇190例，随机分为观察组100例和对照组90例，观察组实施康乐待产服务，即由产妇选定一位家属陪伴，对照组无家属陪伴。[结果]观察组潜伏期与第一产程的时间明显比对照组缩短（P〈0．05），产后出血量也比对照组显著减少（P〈0、05）。[结论]观察组减少了并发症的发生，同时也提高了护理质量。     

分娩球配合自由体位促进第一产程的临床效果

目的探讨分娩球配合自由体位促进第一产程的临床效果。方法便利抽样选择2015年1-5月期间收治的可阴道分娩的产妇100例,随机分成观察组与对照组两个临床研究小组,每组各50例。观察组产妇在第一产程采用分娩球配合自由体位待产,对照组产妇采用传统的待产方式,对比分析两组产妇的疼痛程度、产后2h出血情况、产程时间、新生儿阿氏评分。结果观察组产妇的疼痛程度、产后2h出血量和第一产程时间均低于对照组产妇,两组比较差异具有统计学意义(均P0.05);两组产妇的第二、三产程时间和新生儿Apgar评分的数据比较差异均无统计学意义(均P0.05)。结论产妇在第一产程采用分娩球配合自由体位待产能够有效减少产妇的疼痛程度和产后2h出血,缩短第一产程时间,建议临床推广应用。