闫芳芳 陈远 瞿宜春

【摘 要】目的：探讨助产士护理措施对高龄产妇分娩结局的影响。方法：选取2019年7月至2020年8月在本院进行分娩的高龄产妇128例，将这些患者作为本次的研究对象，并随机分为实验组和对照组两组，其中对照组的患者使用常规的护理措施进行护理，而实验组的患者则采用助产士护理措施进行护理，在两组患者进行有效的护理措施后，将两组患者的分娩方式以及新生儿窒息率、总产程时间、产后24小时的出血量进行对比分析。结果：两组患者在进行有效的护理措施后，实验组患者的分娩方式以及新生儿窒息率、总产程时间、产后24小时的出血量等均优于对照组的患者，且差异数据具有统计学意义（P<0.05）。结论：对于高龄产妇使用助产士护理措施进行护理，能够有效地缩短产程的时间，减少产后出血量以及改善产后的出血情况，并降低新生儿出现窒息的概率，在临床上值得推广和使用。

【关键词】高龄产妇；助产士护理；分娩结局

Effect of midwife nursing intervention on delivery outcome of elderly parturients

Yan fangfang， Chen Yuan， Qu Yichun（corresponding author）

Gansu maternal and child health hospital， Lanzhou Gansu 730070， China

【Abstract】Objective： To explore the effect of midwife nursing measures on the delivery outcome of elderly parturients. Methods： 128 elderly pregnant women who delivered in our hospital from July 2019 to August 2020 were selected. These patients were randomly divided into experimental group and control group. The patients in the control group were cared with conventional nursing measures， while the patients in the experimental group were cared with midwife nursing measures， After effective nursing measures were taken in the two groups，the delivery mode， neonatal asphyxia rate， total labor process time and postpartum bleeding volume in 24 hours were compared and analyzed. Results： After effective nursing measures were taken in the two groups， the delivery mode， neonatal asphyxia rate， total duration of labor and 24-hour postpartum hemorrhage in the experimental group were better than those in the control group， and the difference was statistically significant（P<0.05）. Conclusion： The use of midwife nursing measures for elderly pregnant women can effectively shorten the time of labor process， reduce the amount of postpartum hemorrhage，improve postpartum hemorrhage， and reduce the probability of neonatal asphyxia. It is worthy to be popularized and used in clinic.

【Key？Words】Elderly parturient women； Midwife care； Delivery outcome

1.1 一般资料

选取2019年7月至2020年8月在本院进行分娩的高龄产妇128例，将这些患者作为本次的研究对象，并随机分为实验组和对照组两组，每组有64例患者。对照组64例，年龄37岁～44岁，平均年龄（38.9±2.3）岁，孕周38周～41周，平均孕周（38.45±0.65）周；实验组64例，年龄36岁～44岁，平均年龄（39.5±2.3）岁，孕周37周～41周，平均孕周（38.51±0.49）周。两组患者在年龄和孕周等一般信息之间所产生的差异数据中，不具有统计学意义（P>0.05）具有可比性。

1.2 方法

对照组的患者使用常规的护理措施进行护理，主要的内容包括：在患者入院以后，由护理人员评估患者的健康状况，为患者介绍分娩的环境，做好患者的健康教育措施。……