全程陪护对实施全产程腰硬联合阻滞分娩镇痛孕妇生理及心理影响的临床观察金程陪护对实施金产程腰硬联合阻滞分娩镇痛孕妇生理及心理影响的临床观察【中图分类号IR714.3【文献标识码】A【文章编号】1672-6383(2010)11-0009-02【摘要】目的：探讨全程陪护对实施全产程腰硬联合阻滞分娩镇痛孕妇生理及心理的影响。方法：选择住院分娩120例孕妇，按知情同意、口主选择的方法,随机分为观察组和对照组各60例。两组均为全产程腰硬联合阻滞分娩镇痛。观察组实施全程陪护，对照组实施传统服务模式即分段管理,观察两组孕妇的焦虑程度、镇痛效果、产程时间、岀血量、分娩方式,新生儿Apgar评分等。结果：两组孕妇的焦虑程度、镇痛效果、产程时间、出血量、剖宫产、新生儿窒息等情况比较差异有显著性(P〈0・05)。结论：在全产程腰硬联合阻滞分娩镇痛中，全程陪护可缓解孕妇焦虑情绪,提高镇痛效果，缩短产程，减少出血量，降低剖宫产率及新生儿窒息率,是一种理想的以孕妇为中心的产时分娩服务模式，有利于提高产时质量，保证母婴安全。【关键词】陪护；全产程;分娩镇痛;腰硬联合阻滞WholedistanceaccompanytoproduceadistancewaisttoalloftheimplementhardconsociationZuZhigivebirthtobabytownpainpregnantwomanphysiologyandmentalstateinfluenceofclinicalobservationQiuXuejuanGaoSimingZhouChaoming[Abstract]Purpose:ThestudywholedistanceaccompanytoproduceadistancewaisttoalloftheimplementhardconsociationZuZhigivebirthtobabytownpainpregnantwomanphysiologyandmentalstateofinfluence・Method:Choicehospitalizationgivebirthtobaby120pregnantwoman,pressknowwhathappenedapproval,independencechoiceofmethod,randomisdividedintoobservationsetandmatchedcontrol60foreach.2setallforwholeproduceadistancewaisthardconsociationZuZhichildbearingtownpain.0bservationsetimplementthewholedistaneeaccompany,matchedcontrolimplementtraditionservicemodenamelycentsegmentmanagement,observationtwosetsofpregnantwomanofworryanxiouslydegree,townpaineffect,producedistancetime,bleedquantity,givebirthtobabyway,newbornApgargradepointetc・・Result:Theworryanxiouslydegree,townoftwosetsofpregnantwomanpaineffect,producedistancetime,bleedquantity,thePoutempleproduce,newbornsuffocateetc・circumstaneecomparisonthedifferencehavealreadyshownZhao.（P〈0.05）Conclusion:InwholelyproducethedistancewaisthardlytheconsociationtheZuZhithechildbearingthetownthepain,thewholedistanceaccompanyandcanalleviateapregnantwomanworryanxiouslymotion,exaltationtownpaineffect,shortentoproduceadistance,decreasebleedquantity,loweraPoutempletoproducerateandnewbornasphyxiationrate,isakindofidealoftakepregnantwomanascenterofproducegivebirthtobabyservicemode,whilebeingadvantageoustoexaltationtoproducequality,assurancemotherbabysafety・[Keywords]Accompany;Wholeproduceadistance;Givebirthtobabyatownapain;WaisthardconsociationZuZhi分娩疼痛被认为是人类一生中必然经历的一种自然现象，一直处于被忽视的状态。为孕妇提供无痛苦、对母婴影响小、安全而清醒的分娩镇痛技术是现代人类文明发展的需要。随着分娩镇痛技术的成熟和新药的不断出现，使分娩镇痛的安全系数逐渐增大，为了适应围产医学的发展，实施以人为本的产科全方位服务模式,我院自2008年10月起开展全产程腰硬联合阻滞分娩镇痛,并在分娩镇痛中实施全程陪护人性化服务和分段管理两种不同服务模式，观察其对孕妇生理及心理的影响,现报道如下。1.资料与方法1.1一般资料：2008年10月至2010年2月，在我院待产的初产妇中自愿接受全产程腰硬联合阻滞分娩镇痛的初产妇120例，随机分两组，每组60例，观察组（全程陪护组）和对照组（分段管理组）。孕妇选择22岁〜30岁，身高155cm〜175cm、体重55kg~80kg>ASAI-II级，无椎管内麻醉禁忌症，无明显产科病理因素,足月头位单胎拟行阴道分娩的初...