产程护理干预对头位难产产妇分娩结局的影响

目的研究产程护理干预对头位难产产妇分娩结局的影响,为减少母婴不良结局提供参考。方法将300例头位难产产妇随机分为两组,对照组150例实施常规护理,观察组150例在常规护理基础上实施心理支持、舒适护理、人工破膜、徒手扩张宫颈及旋转胎头等产程护理干预,观察两组母婴结局。结果观察组总产程时间短于对照组（P〈0.05）;观察组剖宫产率、新生儿窒息率均低于对照组（P〈0.05）;观察组产妇疼痛、麻木持续时间短于对照组（P〈0.05）;观察组新生儿NBNA评分高于对照组（P〈0.05）。结论产程护理干预可减少头位难产产妇不良结局发生,缩短产程时间,改善母婴预后,临床应推广适用。

The effects of nursing intervention on the outcomes of rival labor dystocia

Objective To obtain scientific knowledge of the effects of nursing intervention on the outcomes of rival labor dystocia and to develop technology for solving the problem. Method 300 cases of rival labor dystocia were randomly divided into two groups, with 150 cases as the control group administered with routine nursing and 150 cases as the experimental group administered with psychological support, comfort nursing, artificial rupture of membranes, unarmed cervical dilation and rotation of fetal head. Maternal and neonatal outcomes were observed. Findings The length of labor time of the experimental group was shorter than that of the control group （P 〈 0.05 ） ; cesarean section rate, neonatal asphyxia of the experimental group were lower than that of the control group （ P 〈 0. 05 ） ; maternal pain, numbness duration of the observation group were shorter than that of the control group （ P 〈 0.05 ） ; Newborns NBNA score of the experimental group was higher （P 〈 0.05）. Conclusion Nursing intervention can reduce adverse outcomes, shorten labor time, and improve maternal prognosis.