雙側(cè)陰部神經(jīng)阻滯麻醉會(huì)陰無(wú)保護(hù)或適度保護(hù)在陰道分娩中的應(yīng)用
本文關(guān)鍵詞:雙側(cè)陰部神經(jīng)阻滯麻醉會(huì)陰無(wú)保護(hù)或適度保護(hù)在陰道分娩中的應(yīng)用 出處:《青海醫(yī)藥雜志》2016年08期 論文類(lèi)型:期刊論文
更多相關(guān)文章: 陰道分娩 雙側(cè)陰部神經(jīng)阻滯麻醉鎮(zhèn)痛 會(huì)陰無(wú)保護(hù)或適度保護(hù) 低危孕婦
【摘要】:目的:分析雙側(cè)陰部神經(jīng)阻滯麻醉配合維生素AD滴劑潤(rùn)滑陰道會(huì)陰無(wú)保護(hù)或適度保護(hù)技術(shù)在低危產(chǎn)婦正常分娩中的療效。方法:收集我院2015年10月—2016年2月262例足月陰道分娩的低危產(chǎn)婦,其中觀察組102例,對(duì)照組160例,比較兩組療效。結(jié)果:觀察組產(chǎn)婦的會(huì)陰側(cè)切率為0,而對(duì)照組的會(huì)陰側(cè)切率為40.4%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組產(chǎn)婦產(chǎn)程疼痛級(jí)別明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:雙側(cè)陰部神經(jīng)阻滯麻醉會(huì)陰無(wú)保護(hù)或適度保護(hù)助產(chǎn)技術(shù),可明顯降低會(huì)陰側(cè)切率,降低分娩疼痛,促進(jìn)自然分娩率,提高分娩舒適感,使分娩過(guò)程盡量回歸自然,減少不必要的醫(yī)療干預(yù)。此方法更具有人性化,值得臨床推廣應(yīng)用。
[Abstract]:Objective: to analyze the effect of bilateral pudendal nerve block anesthesia combined with vitamin AD vaginal lubrication of perineum without protection or moderate protection technology in low-risk women in normal labor. Methods: 262 cases of low risk pregnant women with full term vaginal delivery from October 2015 to February 2016 were collected, of which 102 cases in the observation group and 160 cases in the control group were compared, and the curative effect of the two groups was compared. Results: the episiotomy rate of the observation group was 0, while the lateral perineal resection rate of the control group was 40.4%, the difference was statistically significant (P0.05), the pain level of the observation group was significantly lower than that of the control group, the difference was statistically significant (P0.05). Conclusion: bilateral pudendal block anesthesia has no protective or proper protective midwifery technology in the perineum, which can significantly reduce the lateral episiotomy rate, reduce labor pain, promote the natural delivery rate, improve the comfort of delivery, and make the labor process return to nature as much as possible, and reduce unnecessary medical intervention. This method is more humanized and worthy of clinical application.
【作者單位】: 青海省大通縣人民醫(yī)院;
【分類(lèi)號(hào)】:R473.71
【正文快照】: 隨著社會(huì)的進(jìn)步和產(chǎn)科醫(yī)學(xué)的發(fā)展,產(chǎn)婦對(duì)分娩過(guò)程的要求也越來(lái)越高,這對(duì)產(chǎn)科醫(yī)務(wù)人員也提出了更高的要求——如何去降低會(huì)陰側(cè)切率,倡導(dǎo)自然分娩的技術(shù)。近年來(lái)隨著社會(huì)-醫(yī)學(xué)-護(hù)理模式的改變,以人為本的整體護(hù)理模式越來(lái)越被人們重視和接受,在分娩過(guò)程中盡量減少人為的醫(yī)療干
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