【摘要】 目的探讨应用助产路径对产妇的分娩疼痛、乳酸浓度及分娩结局的影响及其机制研究。方法选取产房阴道试产的产妇200例,随机分为观察组和对照组各100例。对照组按照分娩期常规全程管理;观察组按照助产路径全程管理,比较两组分娩疼痛评分、产程中血浆乳酸值及分娩结局。结果观察组的PPI评分及乳酸值(宫口开全)均低于对照组(P<0.05);对照组宫口开全时乳酸值与PPI评分存在正相关关系(r=0.206,P<0.05);两组在总产程时间及产后出血量差异均有统计学意义(P<0.05)。结论应用助产路径可有效降低产妇的分娩疼痛,缩短产程,减少不良的分娩结局,促进母婴健康。更多还原

【Abstract】 Objective To investigate the effect of the application of midwifery path on labor pain,lactic acid concentration and delivery outcome and the mechanism in parturients.Methods 200 cases in the delivery room were selected and randomly divided into the observation group and the control group,each of 100 cases.The control group was managed with the whole course of nursing.The observation group managed with the midwifery path model.The scores of labor pain,plasma lactate and the outcome of delivery were compared between the two groups.Results The observation group in the PPI score and lactate(full dilatation) were lower than the control group(P < 0.05); There was a positive correlation between the lactate of the full dilatation and the PPI score in the control group(r=0.206,P < 0.05).Two groups in the total labor time and the amount of postpartum hemorrhage all were significant difference(P < 0.05).Conclusion The application of midwifery path can effectively reduce the pain of parturition,shorten the duration of labor,reduce the bad delivery outcome and promote the health of mother and child.更多还原