刘梦晓

【摘 要】目的：讨论人工腹压对足月孕妇阴道分娩助产的应用效果。方法：选取2011年6月至2013年4月在我院行阴道分娩的产妇100例，随机将其分为对照组和实验组各50例，对照组接受胎头吸引助产，实验组接受人工腹压助产。结果：实验组分娩后阴道损伤程度明显轻于对照组；产后出血人数明显少于对照组；产后胎儿窒息情况明显优于对照组。结论：应用人工腹压对足月阴道分娩产妇进行助产可有助于减少产妇阴道损伤，减少胎儿损伤情况的发生，值得在临床中进一步推广。

【关键词】人工腹压助产；阴道分娩；临床效果；分析研究

Application of artificial abdominal pressure in midwifery of full-term vaginal delivery

Liu Mengxiao

Luzhou People's Hospital， Luzhou， Sichuan 646000

[Abstract]Objective： To discuss the application effect of artificial abdominal pressure on full-term pregnant women with vaginal delivery. Methods： 100 cases of maternal underwent vaginal delivery during June 2011 to April 2013 in our hospital were randomly selected and divided into a control group and an experimental group with 50 cases in each group. The control group received forceps midwifery and the experimental group received artificial abdominal pressure midwifery. Results：The degree of vaginal injury in experimental group after delivery were significantly lighter than that of the control group； the number of postpartum hemorrhage in the experimental group was significantly less than that of the control group； postpartum fetal asphyxia in the experimental group was significantly better than that of the control group. Conclusion： The application of artificial abdominal pressure in midwifery of full-term vaginal delivery can help to reduce maternal vaginal injury and reduce the occurrence of fetal damage. It is worthy of further promotion in clinical practice.

[key words]Artificial abdominal pressure midwifery； Vaginal delivery； Clinical effect； Analysis and research

阴道分娩是目前常见的分娩方式，通过运用人工腹压即双手压迫产妇的腹壁从而对产妇子宫产生压力、帮助分娩的人工助产方法，可以使得产妇在分娩过程中减少损伤，同时保护胎儿，提高阴道分娩的成功率[1]。我院通过对100例足月阴道分娩的产妇进行人工腹压助产取得较为满意的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2011年6月至2013年4月在我院行足月阴道分娩的產妇100例，年龄23～40岁，平均（27.8±6.3）岁。随机将其分为对照组50例，年龄23～40岁，平均（27.4±4.2）岁，初产妇30例，经产妇20例，平均孕周39.4周；实验组50例，年龄23～40岁，平均（26.9±2.2）岁，初产妇35例，经产妇15例，平均孕周39.3周。两组产妇在年龄、产前检查、既往病史等方面无明显差异（P>0.05），具有可比性。本研究通过伦理委员会批准，所有产妇均签署知情同意书。

1.2 方法

给予两组产妇均产前一般常规检查及围产期护理。其中，对照组产妇接受胎头吸引助产，实验组接受人工腹压助产。产……