目的 观察孕期体重管理联合减痛法对妊娠结局及产程的影响.方法 纳入2014年9月至2016年9月接收的86例产妇,依据随机数表法分为观察组(体重管理联合减痛法)与对照组(传统护理),每组各43例,比较两组妊娠结局及产程变化.结果 妊娠结局比较:观察组自然分娩率及阴道分娩会阴Ⅰ度裂伤率均较对照组高,且剖宫产率、会阴侧切率较对照组低,差异均有统计学意义(P<0.05);两组产钳助产率及阴道分娩会阴Ⅱ度裂伤率比较,差异无统计学意义(P>0.05);分娩后24h内,观察组产后出血量较对照组低,差异有统计学意义(P<0.05);产程比较:观察组第一、二产程及总产程时间均短于对照组,差异有统计学意义(P<0.05),而两组第三产程时间比较差异无统计学意义(P>0.05).结论 孕期体重管理联合减痛法对妊娠结局及产程具有一定影响,能促使产程缩短、剖宫产及产钳助产率下降、产后出血减少,值得临床借鉴.%Objective To observe the effect of weight management combined with pain reduction on pregnancy outcome and birth process. Methods 86 patients received in our hospital from September 2014 to September 2016 were enrolledas the objectives,who were divided into observation group(weight management joint pain reduction method)in 43 cases and control group(conventional nursing)in 43 cases,and two groups of pregnancy and birth process changes were compared. Results Comparison of pregnancy outcome: The rate of natural childbirth and vaginal delivery of perineal laceration rate in observation group is higher than that in the control group,and the rate of cesarean section,perineotomy rate is lower than that in the control group. The differences were statistically significant(P<0.05);two groups of forceps delivery rate and vaginal delivery rate of perineal laceration were found with no statistically significance difference(P>0.05);24h after delivery,the amount of postpartum hemorrhage in the observation group is lower than that in the control group,the difference was statistically significant(P<0.05);Comparison of birth process: The first and total stage of birth time in observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05), but the difference third labor time of t between wo groups was not statistically significant the(P>0.05). Conclusion Pregnancy weight management joint pain reduction method has a certain influence on the outcome of pregnancy and childbirth. It shortens the birth process,reduces cesarean section and forceps delivery rate, postpartum hemorrhage,which shows the worth of clinical reference.
展开▼
机译：亨利·布伦，皮埃尔·布伦，权利宪章：立法，判例和学说，第11版，知音收集，蒙特利尔，威尔逊·拉弗勒LTEE，1998年1126页，IsBN 2-89127-446-6皮埃尔Ciotola（DIR 。），2000年公证人：挑战与展望，maximilien-Caron Days 1997，montreal，Themis publishing，1997,203页，IsBN 2-89400-097-9 Claude Emanuelli，国际公法。加拿大视角对国际法研究的贡献，第3版，The Blue Collection，montreal，Wilson＆Lafleur Ltd.，1998,531页，IsBN 2-89127-434-2 Jacques-Yvan morin等，国际法市民。注释和论文，第一卷和第二卷，第三版修订版，蒙特利尔，Themis出版社，1997年，第1卷：1232页，第二卷：1033页，IsBN 2-89400-091-X（第1卷）; IsBN 2-89400-092-8（v.2）联合国/联合国，联合国国际贸易法委员会，年鉴/联合国国际贸易法委员会，第二十七卷：1996年，联合国/联合国， 1996年，357页Yves Tardif，词汇表，摘要和概要法理学，关于工业事故和职业病的法案，第2版，montreal，Wilson＆Lafleur Ltd.，1997,346页，IsBN 2-89127-388-5 patrice Vachon ，出售业务，montreal，Wilson＆Lafleur Ltd.，1997,1129页，IsBN 2-920831-64-X marc Verdussen（编辑），中欧宪法司法，布鲁塞尔宪法和行政研究中心/ paris，Bruylant / LGDJ，1997,251页，Bruylant IsBN 2-8027-1046-X，IsBN General Library of Law and Jurisprudence 2-275-01656-2
