汪超

摘要：目的：分析分娩镇痛配合体位护理对产妇和新生儿并发症的影响。方法：回顾性分析2020年5月至2020年12月来我院要求实施分娩镇痛的64例足月产妇临床资料，选用数字随机分组方式将其分为常规组32例、观察组32例，观察组在分娩镇痛常规护理基础上再进一步采取分娩镇痛配合体位护理，观察比较两组产妇镇痛效果、新生儿并发症发生率及产程时间。结果：观察组产妇镇痛总有效率为96.87%，显著高于常规组的68.75%，观察组总产程时间（6.42±4.20）h比常规组（13.56±5.60）h少，且观察组中新生儿并发症总发生率3.13%远远低于常规组28.13%低，差异具有统计学意义（P<0.05）。结论：对即将分娩孕妇运用分娩镇痛配合体位护理具有较好的镇痛效果，可有效减少产程耗时，并对宝宝出生时可能发生的并发症有预防减轻作用，具有临床推广价值。

关键词：分娩镇痛;体位护理;新生儿并发症;产程时间

【中图分类号】R473.71 【文献标识码】A 【文章编号】1673-9026（2021）05-222-02

Abstract：Objective：To analyze the effect of labor analgesia combined with postural nursing on complications of the parturient and newborn.Methods：A retrospective analysis of the clinical data of 64 full-term mothers who came to our hospital for delivery from May 2020 to December 2020 was used to divide them into a routine group with 32 cases and an observation group with 32 cases.The observation group was in the routine group.On the basis of nursing care，analgesia during childbirth and postural nursing were further adopted to observe and compare the analgesic effect，the incidence of neonatal complications and the time of labor in the two groups.Results：The total effective rate of analgesia in the observation group was 96.87%，which was significantly higher than 68.75% in the routine group.The total labor time of the observation group （6.42±4.20） h was less than that of the routine group （13.56±5.60） h，and the total neonatal complications The incidence rate of 3.13% was lower than that of the routine group 28.13%，and the difference was statistically significant （P<0.05）.Conclusion：The use of labor analgesia combined with postural nursing in the delivery of parturients has a good analgesic effect，can effectively shorten the labor time，reduce the incidence of neonatal complications，and has clinical promotion value.

Keywords：labor analgesia;postural care;neonatal complications;labor time

分娩是女性一生中非常重要的时刻，其所要承受的疼痛也极为剧烈难忍，对每位准妈妈都是一场巨大考验。但在社会飞速发展及医疗水平日益卓越的现代化条件下，分娩镇痛的应用也越来越广泛，在分娩过程中主动要求分娩镇痛的产妇也逐渐呈上升趋势[1]。分娩时所引发的疼痛是极其复杂的生理过程，常见疼痛原因包括宫口扩张张开、子宫收缩等，都会对母婴安全构成严重威胁[2]。分娩镇痛不但可以有效减缓孕妇分娩时的巨大痛苦，还可以使产妇处于最佳状态以配合助产士顺利进行分娩过程[3]。一般药物虽然也可达到较为理想的效果，但仍然存在不少的限制性。为探讨将分娩镇痛配合体位护理应用于产妇分娩过程中的镇痛效果及对新生儿并发症发生率的影响，此次分析报告特以我院2020年5月至2020年12月收治的64例足月产妇为研究对象分析其实际应用效果，现做详细报告如下。……