应用心理暗示方法缩短产程的临床研究

为探讨心理暗示方法对分娩的影响，以特定设计的心理暗示方法（假慰）前瞻性分组，对120例足月头位临产之健康初产妇的第一、二产程等分娩期生物学指标进行了比较研究。结果：实验组第一、二产程显著缩短（P＜0．01）。结论：分娩期助产者与孕妇间的语言交流应加强管理，在评价宫口情况时应针对性地给予暗示，第一产程肛查目的应赋予心理干预手段的内涵。

Clinical Study on Shortening Birth Process by Psychological Suggestion Therapy

To investigate the effect of psychological suggestion therapy on the birth process,specially designed prospetive study of psychological suggestion ("insubstanial comfort") was undertaken in 120 healthy full-term primipara with singleton pregnancy and cephalic presentation. All cases were randomly divided into 2 groups, the birth processes and final modes of delivery were analyzed in 60 cases interfered with the psychloogical suggestion therapy and 60 cases with spontaneous birth processes as control gruop. The results showed that a significant shorter time of the first and second stages of labor in the study group thanthat in the control group (P < 0. 01). Based on this study, it is suggested' that the conversation conceming about the evaluation of individual birth process between the moher-to-be and nurse should be controlled carefully for the purpose of advancing of birth process. The nurse should apply the psychological suggestion therapy during the birth process, speially when answering the question raised by mother-to-be about the quantity of the cervical dilataion. It is also suggestal that the purpose of the rectal examination taking during the firsst stage of labor should be given some kind of meaning of psychotherapy