首页|双侧会阴神经阻滞联合助产护理对产妇产程及心理状态的影响

双侧会阴神经阻滞联合助产护理对产妇产程及心理状态的影响

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目的 分析双侧会阴神经阻滞联合助产护理对产妇产程及心理状态的影响.方法 选取66名待产产妇为研究对象,使用随机数字表法分为对照组和观察组,每组33名.对照组接受双侧会阴神经阻滞,观察组在对照组基础上联合助产护理模式干预.比较两组产妇的干预效果.结果 干预后,观察组第一产程、第二产程、总产程时间均短于对照组,差异有统计学意义(P<0.05).干预后,观察组各项心理状态评分均低于对照组,差异有统计学意义(P<0.05).观察组会阴Ⅰ度、Ⅱ度、Ⅲ度撕裂发生率均低于对照组,会阴侧切发生率为6.06%,低于对照组的30.30%,差异有统计学意义(P<0.05).结论 双侧会阴神经阻滞联合助产护理不仅能缩短产程时间,有效缓解产妇的负性情绪,还能降低其会阴侧切率及会阴撕裂率,临床效果显著,可予以推广.
Effects of bilateral perineal nerve block combined with midwifery nursing on maternal labor and mental state
Objective To analyze the effects of bilateral perineal nerve block combined with midwifery nursing on maternal labor and mental state.Methods 66 expectant parturients were selected as the research objects and were divided into a control group and an observation group by random number table method,with 33 cases in each group.The control group received bilateral perineal nerve block,and the observation group was combined with midwifery nursing mode intervention on the basis of the control group.The effects of intervention were compared between the two groups.Results After intervention,the first,second and the total stage of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of psychological states in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidences of grade Ⅰ,Ⅱ and Ⅲperineal tears in the observation group were lower than those in the control group,and the incidence of lateral perineal incision was 6.06%,lower than 30.30%in control group,and the differences were statistically significant(P<0.05).Conclusion Bilateral perineal nerve block combined with midwifery nursing can not only shorten the labor time,effectively relieve the negative emotions of pariplegia,but also reduce the rate of lateral perineal incision and perineal tear.The clinical effect is significant and can be promoted.

Midwifery nursing interventionBilateral perineal nerve block anesthesiaStages of laborMental state

邢玉凤

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南京市高淳人民医院产科,江苏南京 211300

助产护理干预 双侧会阴神经阻滞麻醉 产程 心理状态

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(6)
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