【摘要】：研究背景:通過(guò)搜集藏醫(yī)自然分娩文獻(xiàn)和資料知道藏醫(yī)有一套自然分娩理論體系,在高海拔、嚴(yán)酷的生活環(huán)境下祖輩們通過(guò)積累寶貴的經(jīng)驗(yàn),留下了適合在這里的較完整的自然分娩方法。但是由于起初學(xué)藏醫(yī)的全是在寺廟里的僧侶,在臨床上不便接生,導(dǎo)致現(xiàn)在藏醫(yī)自然分娩理論與實(shí)踐沒有得到很大的推廣和傳播。其次藏區(qū)偏僻落后,沒有相應(yīng)的醫(yī)療人員,再加上路途遙遠(yuǎn)和交通不便,沒有及時(shí)行醫(yī)的條件。導(dǎo)致藏區(qū)產(chǎn)婦的分娩狀況沒有保障�，F(xiàn)如今藏區(qū)分娩現(xiàn)狀雖然比以前好一點(diǎn),但是對(duì)于藏區(qū)現(xiàn)在還沒有實(shí)行藏醫(yī)里記載的自然分娩法。我覺得我們要汲取傳統(tǒng)分娩的好經(jīng)驗(yàn),有利于今后發(fā)揚(yáng)藏醫(yī)傳統(tǒng)文學(xué)的傳承和了解藏區(qū)分娩現(xiàn)狀以更好的對(duì)藏區(qū)產(chǎn)婦提供更好更專業(yè)的分娩服務(wù),是我們義不容辭的責(zé)任。研究目的及方法:此研究通過(guò)文獻(xiàn)資料研究和臨床問(wèn)卷調(diào)查的研究方法;首先通過(guò)文獻(xiàn)資料探討分娩過(guò)程中發(fā)生難產(chǎn)的原因及其助產(chǎn)士的分娩技術(shù)。論述了自己對(duì)藏醫(yī)分娩相關(guān)疾病的診斷與治療、預(yù)防措施等內(nèi)容的認(rèn)識(shí)和觀點(diǎn)。其次通過(guò)在分娩中心臨床實(shí)習(xí)和對(duì)分娩中心的102名產(chǎn)婦進(jìn)行問(wèn)卷調(diào)查,總結(jié)熱貢地區(qū)產(chǎn)婦的分娩狀況及了解當(dāng)?shù)刈畛Ｒ姷姆置湎嚓P(guān)疾病和發(fā)生原因。此外對(duì)當(dāng)?shù)亟?jīng)驗(yàn)豐富的五名助產(chǎn)士進(jìn)行訪問(wèn)了解臨床實(shí)行的分娩技術(shù)。研究結(jié)果:在文獻(xiàn)資料研究中大致論述了藏醫(yī)自然分娩的理論;運(yùn)用藏醫(yī)文獻(xiàn)中的理論知識(shí)和見解現(xiàn)在臨床上的各種方法對(duì)分娩前、分娩期、分娩后三大順序論述了分娩的全過(guò)程,并提出了分娩相關(guān)疾病的防治思路。在問(wèn)卷調(diào)查中,102名產(chǎn)婦最常見的分娩相關(guān)疾病依次為胎位不正和臍繞頸、骨盆不稱等。產(chǎn)后主要疾病有產(chǎn)后大出血和新生兒窒息。其發(fā)生原因與孕婦保健意識(shí)和助產(chǎn)士的分娩技術(shù)等有關(guān)。研究結(jié)論:1.通過(guò)此研究知道分娩狀況與產(chǎn)婦的健康教育相關(guān),我們要加強(qiáng)孕期保健和分娩相關(guān)的健康知識(shí)宣傳為預(yù)防產(chǎn)婦自然分娩時(shí)的各個(gè)危險(xiǎn)因素。2.提高助產(chǎn)士的分娩技術(shù)是保障母子健康的關(guān)鍵。
[Abstract]:Background: through collecting the literature and data of natural delivery in Tibetan medicine, we know that Tibetan medicine has a set of natural delivery theory system. In the high altitude and harsh living environment, the ancestors accumulated valuable experience. Leave a more complete natural delivery method suitable here. However, due to the beginning of Tibetan medicine are all monks in the temple, clinical inconvenient delivery, resulting in the Tibetan medicine natural delivery theory and practice has not been greatly promoted and spread. Secondly, the Tibetan area is remote and backward, without corresponding medical personnel, plus the long distance and the inconvenient transportation, and the condition of practicing medicine in time. As a result, the delivery conditions of parturient in Tibetan area are not guaranteed. Although the present situation of delivery in Tibetan areas is a little better than before, there is no natural delivery law recorded in Tibetan medicine. I think it is our unshirkable duty to learn from the good experience of traditional delivery, to carry forward the inheritance of Tibetan traditional literature and to understand the present situation of delivery in Tibetan areas so as to provide better and more professional delivery services for parturients in Tibetan areas. Objective and methods: this study was carried out through literature research and clinical questionnaire survey. Firstly, the causes of dystocia during labor and the delivery techniques of midwives were discussed. This paper discusses his own understanding and views on the diagnosis and treatment of parturition related diseases and preventive measures in Tibetan medicine. Secondly, through the clinical practice in the delivery center and the questionnaire survey of 102 parturient in the delivery center, this paper summarizes the delivery condition of the parturient in Jigong area, and finds out the most common diseases and the causes of the parturition. In addition, five local experienced midwives were interviewed to learn about clinical delivery techniques. Research results: in the literature research, the theory of natural delivery of Tibetan medicine is discussed, and the theory and opinions of Tibetan medical literature are used to analyze the period of labor before and after delivery. The whole process of delivery was discussed in three major order after delivery, and the prevention and treatment of parturition related diseases were put forward. In the questionnaire, the most common parturition related diseases in 102 parturient women were fetal malposition and umbilical around neck, pelvic disproportion and so on. Major postpartum diseases include postpartum haemorrhage and neonatal asphyxia. The causes are related to maternal health awareness and midwives' delivery techniques. Conclusion: 1. Through this study, we know that delivery status is related to maternal health education, we should strengthen health care during pregnancy and health knowledge related to childbirth as the prevention of maternal natural delivery risk factors. 2. Improving midwives' delivery skills is the key to ensuring the health of mother and child.
【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R29

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