江朋英 刘慧琴

[摘要]目的 分析拉玛泽分娩法联合护理干预对分娩疼痛、产程进展、自然分娩率的影响。方法 以我院门诊2014年5月～2015年8月接诊的60例产妇为观察对象，使用随机数字表法分为对照组和观察组，每组各30例。两组均接受产科门诊、孕妇学校提供的护理、孕期保健，在此基础上对照组给予常规护理，观察组给予拉玛泽分娩呼吸训练，比较两组产妇自然分娩率、产程时间、疼痛耐受程度等。结果 观察组产妇自然分娩率高于对照组，差异有统计学意义（P<0.05）；观察组产妇疼痛程度较对照组明显降低，差异有统计学意义（P<0.05）；观察组产妇产程时间（第一、第二、总产程时间）明显短于对照组，差异有统计学意义（P<0.05）。结论 拉玛泽分娩法联合护理干预有助于减轻产妇分娩疼痛程度，促进产程进展，提高自然分娩率。

[关键词]孕期拉玛泽分娩法；自然分娩率；产程；疼痛程度

[中图分类号] R714.3 [文献标识码] A [文章编号] 1674-4721（2018）2（a）-0177-03

[Abstract]Objective To analyze the influence of Lamaze delivery combined with nursing intervention on labor pain，labor progress，and spontaneous labor rate.Methods A total of 60 pregnant women visited our clinics in our hospital from May 2014 to August 2015 were selected as observation objects.By a random number table，they were divided into control group（n=30） and observation group（n=30）.The nursing and pregnancy care by obstetrical clinics and pregnancy school were applied in both groups.Besides，regular nursing was provided in the control group，and Lamaze labor breathing training was adopted in the observation group.The SPSS 17.0 analysis was used to analyze the spontaneous rate，labor duration，and pain tolerance，and so on.Results The rate of spontaneous delivery in the observation group was higher than that in the control group with a statistical difference （P<0.05）.The degree of pain in the observation group was significantly decreased compared with that in the control group（P<0.05）.The duration of labor （including first，second，and total labor） in the observation group was markedly shorter in comparison with that in the control group，which was displayed a statistical difference（P<0.05）.Conclusion Combination of Lamaze delivery and nursing intervention is beneficial to reduce the pain degree of pregnant women，promote the labor process，and increase the rate of spontaneous delivery.

[Key words]Lamaze delivery during pregnancy；Spontaneous delivery rate；Labor process；Pain degree

分娩是一個正常的生理过程，多数产妇伴有心理变化（焦虑、恐惧等），致使剖宫产率逐渐增高，直接增加并发症发生风险。据报道，自然分娩有助于产妇分娩后的机体快速恢复、母乳喂养等[1]。因此，减轻分娩疼痛、缓解患者情绪、促进产程进展等方面的内容成为当前临床需要解决的重要问题。法国产科博士拉玛泽提出拉玛泽分娩法，其是一种非药物镇痛方法，即结合产妇不同产程阶段的表现提供具有节律性的呼吸、放松训练，使其注意力主要集中在呼吸控制方面，达到减轻疼痛、提高舒适度、促进产程进展、提高自然分娩率等目的，临床应用效果尤为显著[2]。基于上述事实，本文对我院产妇应用拉玛泽分娩法联合护理干预，取得了理想的效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2014年5月～2015年8月收治的60例阴道试产初产妇，用随机数字表法分为对照组和观察组，每组各30例。……