马婷

（广东省深圳市罗湖区妇幼保健院妇产科，广东深圳518009）

拉玛泽减痛分娩法联合分娩球护理对分娩结局的影响研究

马婷

（广东省深圳市罗湖区妇幼保健院妇产科，广东深圳518009）

目的：探讨拉玛泽减痛分娩法联合分娩球护理对分娩结局的影响。方法：选择2014年8月至2015年6月在我院产检并分娩的90例产妇为研究对象，以随机数字表法分组，观察组45例，对照组45例，对照组产妇接受常规分娩护理，观察组实施拉玛泽减痛分娩法配合分娩球护理，观察2组产妇分娩结局。结果：观察组产妇产程时间与对照组相比明显较短（P＜0.05）；观察组产妇胎位异常、宫缩乏力、胎儿宫内窘迫等情况发生率为4.44%，与对照组（33.33%）比较差异有统计学意义（P＜0.05）。结论：拉玛泽减痛分娩法配合分娩球护理可缩短产程时间，降低难产率，减轻产妇痛苦，对改善母婴预后具有重要意义，值得推广。

分娩球；拉玛泽呼吸减痛法；护理；分娩结局

［Abstract］Objective：To investigate the effect of Ramaze pain relief delivery method combined with delivery ball care on the outcome of delivery.Methods：A total of 90 puerpera who got antenatal examination and delivered in our hospital from Aug 2014 to Jun 2015 were selected and divided into 2 groups by random number table method.And 45 cases in the control group received conventional delivery care，while 45 cases in the observation group received Ramaze pain relief delivery method combined with delivery ball care.Their outcomes of delivery were observed.Results：Delivery process in the observation group were significantly shorter than in the control group（P＜0.05）.The occurrence rate of maternal fetal abnormalities，uterine atony，fetal intrauterine distress in the observation group was 4.44%，which was significantly less than 33.33%in the control group（P＜0.05）. Conclusions：Ramaze pain relief delivery method combined with delivery ball care can shorten delivery process，reduce the rate of dystocia，and reduce maternal pain.It is important in improving the prognosis of mothers and their infants，and worthy of promotion.［Key words］delivery ball；Ramaze pain relief delivery method；nursing；delivery outcome

目前我国剖宫产率显著高于国际水平，初产妇自然分娩率呈下降趋势。分娩过程疼痛、难产的畏惧、分娩时间长等是导致剖宫产率居高不下的主要因素［1］。拉玛泽呼吸减痛法是一种新型的分娩疼痛控制方式，为心理预防式分娩准备法，在妊娠7个月时，开始对孕妇进行呼吸控制训练、产前体操、神经肌肉控制等，通过分散注意力，使产妇适度放松肌肉，转移疼痛，在分娩过程中保持信心，以达到顺利分娩目的［2］。本研究对产妇应用拉玛泽减痛分娩法配合分娩球辅助分娩，现报道如下。……