本文選題：新產(chǎn)程處理標(biāo)準(zhǔn) + 弗里德曼產(chǎn)程圖��； 參考：《蘭州大學(xué)》2017年碩士論文

【摘要】：目的:目前臨床上對(duì)于分娩產(chǎn)程處理標(biāo)準(zhǔn)的參考尚無(wú)準(zhǔn)確依據(jù),對(duì)于新舊產(chǎn)程處理標(biāo)準(zhǔn)意見尚不統(tǒng)一。本研究的目的是探討舊產(chǎn)程處理標(biāo)準(zhǔn)(即Friedman產(chǎn)程曲線)與新產(chǎn)程標(biāo)準(zhǔn)及專家處理共識(shí)在當(dāng)代孕婦產(chǎn)程管理中對(duì)于合理產(chǎn)科干預(yù)以及母嬰結(jié)局的影響。方法:本研究回顧性分析蘭州大學(xué)第一醫(yī)院產(chǎn)科病區(qū)2014年1月1日-2014年2月28日以及2016年9月1日-2016年10月31日期間收住的年輕單胎頭位妊娠孕婦188例,分為對(duì)照組(n=90,采用舊產(chǎn)程處理標(biāo)準(zhǔn)管理產(chǎn)程)和研究組(n=98,采用新產(chǎn)程處理標(biāo)準(zhǔn)管理產(chǎn)程),比較分析2組孕婦分娩過(guò)程中各產(chǎn)程時(shí)限、所給予臨床干預(yù)以及母嬰結(jié)局的影響。結(jié)果:(1)兩組孕婦一般情況及新生兒出生質(zhì)量比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);(2)研究組活躍期產(chǎn)程時(shí)間更短,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),兩組在潛伏期時(shí)間、第二以及第三產(chǎn)程時(shí)間上無(wú)明顯差異(P0.05);(3)對(duì)照組第二產(chǎn)程中低位產(chǎn)鉗陰道助產(chǎn)例數(shù)明顯多于研究組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),兩組在縮宮素使用、第二產(chǎn)程會(huì)陰側(cè)切(及正中切)助娩以及第一、第二產(chǎn)程中干預(yù)總例數(shù)的比較上,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);(4)對(duì)照組中轉(zhuǎn)剖宮產(chǎn)孕婦例數(shù)明顯高于研究組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);(5)在兩組母嬰結(jié)局方面:研究組胎兒窘迫及產(chǎn)后出血例數(shù)明顯少于對(duì)照組,母體產(chǎn)傷例數(shù)高于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組間新生兒窒息差異無(wú)顯著性(P0.05)。結(jié)論:新產(chǎn)程處理標(biāo)準(zhǔn)減少了產(chǎn)程管理中不必要的臨床干預(yù),有效降低了剖宮產(chǎn)率,讓更多孕婦避免了剖宮產(chǎn)術(shù)帶來(lái)的后續(xù)傷害。與此同時(shí),并未明顯增加在母嬰結(jié)局方面對(duì)孕婦及新生兒的嚴(yán)重不良預(yù)后。因此,我們認(rèn)為新產(chǎn)程處理標(biāo)準(zhǔn)在臨床醫(yī)師對(duì)當(dāng)代孕婦分娩產(chǎn)程管理中值得推廣。
[Abstract]:Objective: at present, there is no accurate basis for the reference of the standard of delivery process in labor, and the standards for the treatment of new and old birth process are not uniform. The purpose of this study is to discuss the old birth process standard (the Friedman production process curve) and the new birth process standard and the expert's consensus on the rational obstetric intervention in the management of the maternity process of the pregnant women. Methods: a retrospective analysis of 188 young single pregnant women with single pregnancy in the Department of Obstetrics, First Hospital Affiliated to Lanzhou University, February 28th -2014 January 1, 2014 and October 31st September 1, 2016 -2016, was divided into the control group (n=90, the standard management of the old labor process) and the study group (n=98, mining group). With the standard management of birth process with the new birth process, the results were compared and analyzed between the 2 groups of pregnant women during childbirth, the clinical intervention and the effect of maternal and infant outcome. Results: (1) there was no significant difference between the general conditions of the two groups and the birth quality of the newborn (P0.05); (2) the time of the study group was shorter in the active stage and the two groups were different. Statistical significance (P0.05), there was no significant difference between the two groups in the latency time, second and third period of labor (P0.05); (3) the number of vaginal midwifery in the middle and low position forceps in the second stage of the control group was significantly more than that of the study group (P0.05), the two groups were used in the oxytocin, the second stage of the perineum side cut (and median cut) was assisted and the first, There was no significant difference in the total number of intervention in the second stage of labor (P0.05); (4) the number of pregnant women in the control group was significantly higher than the study group, the difference was statistically significant (P0.05); (5) in the two groups of maternal and infant outcomes, the number of fetal distress and postpartum hemorrhage in the study group was significantly less than that of the control group, and the number of maternal injury cases was higher than that of the control group. The difference was statistically significant (P0.05); there was no significant difference in neonatal asphyxia between the two groups. Conclusion: the new birth process management standard reduces the unnecessary clinical intervention in the management of labor process, effectively reduces the rate of caesarean section and prevents more pregnant women from the subsequent injury caused by cesarean section. At the same time, it does not increase the maternal and infant outcome. In view of the serious adverse prognosis of pregnant women and newborns, we believe that the standard of new labor treatment is worth promoting by clinicians in the delivery management of contemporary pregnant women.
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R714

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉鵬;妊高征的產(chǎn)程觀察及護(hù)理[J];齊魯護(hù)理雜志;2001年10期

2 魏春燕,萬(wàn)京明,劉輝;硬膜外阻滯無(wú)痛分娩96例的產(chǎn)程觀察及護(hù)理[J];哈爾濱醫(yī)藥;2003年04期

3 溫麗娟;;妊高征的產(chǎn)程觀察及護(hù)理[J];內(nèi)蒙古中醫(yī)藥;2010年22期

4 朱芳;;妊娠高血壓綜合征的產(chǎn)程觀察及護(hù)理體會(huì)[J];中外醫(yī)學(xué)研究;2013年10期

5 趙莉萍;安定對(duì)產(chǎn)程的影響[J];鐵道醫(yī)學(xué);1997年01期

6 石登翠;黃麗;;產(chǎn)程觀察中可能遇到的特殊問題與意外分析處理[J];中國(guó)衛(wèi)生產(chǎn)業(yè);2013年34期

7 劉鴛;嚴(yán)密產(chǎn)程觀察 完善護(hù)理服務(wù)文化[J];福建醫(yī)藥雜志;2002年06期

8 趙萍英,徐愛云;妊高征產(chǎn)程觀察及護(hù)理[J];井岡山醫(yī)專學(xué)報(bào);2002年04期

9 李俊玲;妊娠高血壓綜合征79例產(chǎn)程觀察及護(hù)理[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2003年12期

10 李琳,楊新果;健康教育在產(chǎn)程觀察中的應(yīng)用[J];西南國(guó)防醫(yī)藥;2003年02期

相關(guān)會(huì)議論文 前8條

1 張少芹;;體位干預(yù)與產(chǎn)程進(jìn)展[A];全國(guó)門、急診護(hù)理學(xué)術(shù)交流暨專題講座會(huì)議論文匯編[C];2003年

2 寧寧;;淺談產(chǎn)程的觀察與護(hù)理[A];全國(guó)婦產(chǎn)科新技術(shù)、新理論進(jìn)展研討會(huì)論文匯編[C];2012年

3 吳婉藝;;200例無(wú)痛分娩的產(chǎn)程觀察及護(hù)理[A];全國(guó)婦產(chǎn)科新技術(shù)、新理論進(jìn)展研討會(huì)、全國(guó)助產(chǎn)專業(yè)護(hù)士培訓(xùn)班論文匯編[C];2011年

4 韓艷華;;瘢痕子宮陰道分娩的產(chǎn)程觀察與處理[A];2013年河南省婦產(chǎn)科護(hù)理安全管理研討班論文集[C];2013年

5 韓艷華;;妊娠期糖尿病病人的產(chǎn)程護(hù)理[A];2013年河南省婦產(chǎn)科護(hù)理安全管理研討班論文集[C];2013年

6 周潔;楊燕莉;馬克新;劉艷霞;王葳;;腰硬聯(lián)合麻醉鎮(zhèn)痛分娩的產(chǎn)程觀察與護(hù)理[A];全國(guó)婦產(chǎn)科護(hù)理學(xué)術(shù)交流暨專題講座會(huì)議論文匯編[C];2003年

7 張翠瓊;何桂華;王冬梅;陳健飛;;剖宮產(chǎn)術(shù)后再次妊娠陰道分娩的產(chǎn)程觀察及護(hù)理研究[A];2008年中國(guó)嶺南護(hù)理學(xué)術(shù)講壇論文集[C];2008年

8 盧和菁;;“一對(duì)一”產(chǎn)程專人助產(chǎn)服務(wù)模式探討[A];第八次全國(guó)婦產(chǎn)科學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

相關(guān)碩士學(xué)位論文 前8條

1 王振威;新舊產(chǎn)程處理標(biāo)準(zhǔn)在當(dāng)代孕婦產(chǎn)程管理中的效果分析[D];蘭州大學(xué);2017年

2 王珊珊;新產(chǎn)程時(shí)限標(biāo)準(zhǔn)與舊產(chǎn)程時(shí)限標(biāo)準(zhǔn)的臨床觀察[D];福建醫(yī)科大學(xué);2015年

3 楊力;新產(chǎn)程標(biāo)準(zhǔn)在足月妊娠分娩的臨床觀察[D];暨南大學(xué);2016年

4 張?jiān)虑?新產(chǎn)科服務(wù)模式下產(chǎn)程時(shí)限特點(diǎn)及母嬰結(jié)局[D];河北醫(yī)科大學(xué);2016年

5 冒曉玲;新舊產(chǎn)程時(shí)限標(biāo)準(zhǔn)在產(chǎn)婦分娩中的臨床研究[D];蘇州大學(xué);2016年

6 楊玲;近20年產(chǎn)程時(shí)限變化的meta分析[D];南京大學(xué);2012年

7 張新娟;坐式微震待產(chǎn)對(duì)產(chǎn)程促進(jìn)作用的探討[D];山東大學(xué);2009年

8 金更學(xué);干預(yù)措施對(duì)妊娠期亞臨床甲狀腺功能減退癥孕婦及其子代的影響[D];蘭州大學(xué);2017年

，

本文編號(hào)：2088261