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| 骨盆摇摆联合自由体位在高龄足月妊娠产妇中的应用效果 |
| Effect of pelvic swing combined with free position on progress of labor and early pelvic floor function in elderly full-term pregnant women |
| 投稿时间：2024-07-05 修订日期：2024-07-10 |
| 中文关键词: 骨盆摇摆 自由体位 高龄 足月妊娠 产程进展 盆底功能 |
| 英文关键词: |
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| 中文摘要: |
| 目的 探讨骨盆摇摆联合自由体位对高龄足月妊娠产妇产程进展及早期盆底功能的影响。方法 纳入我院2022年2月-2024年2月收治的高龄足月妊娠产妇96例为研究对象,采用随机数表法分组为观察组与对照组,每组患者48例。对照组、观察组分别行常规助产护理、骨盆摇摆联合自由体位,比较两组产妇转剖宫产率及会阴侧切率、不同产程时间及VAS评分、POMS-SF正性情绪评分、早期盆底功能、盆底功能障碍性疾病发生率。结果 两组转剖宫产率及会阴侧切率比较,差异无统计学意义(P＞0.05)。观察组第一产程、第二产程时间均短于对照组,VAS评分低于对照组(均P＜0.05)。产时观察组POMS-SF正性情绪各维度评分均高于对照组(P＜0.05)。观察组产后盆底功能参数(URA、PUA、BND)均低于对照组(P＜0.05)。观察组盆底功能障碍性疾病发生率低于对照组(P＜0.05)。结论 骨盆摇摆联合自由体位可缩短高龄足月妊娠产妇产程时间,减轻产妇疼痛,提高产妇正性心理评分,利于早期盆底功能恢复,且可降低盆底功能障碍性疾病发生率。 |
| 英文摘要: |
| 【 】 Objective To investigate the effects of pelvic swing combined with free position on the progress of labor and early pelvic floor function in elderly full-term pregnant women. Methods A total of 96 elderly full-term pregnant women admitted to our hospital from February 2022 to February 2024 were included in the study. They were divided into observation group and control group by random number table method, with 48 patients in each group. The control group and the observation group received routine midwifical care, pelvic swing combined with free position, respectively. The rate of cesarean section and perineal lateral incision, different labor time and VAS score, PMS-SF positive emotional score, early pelvic floor function and the incidence of pelvic floor dysfunction were compared between the two groups. Results There was no significant difference in cesarean section rate and lateral perineal resection rate between the two groups (P > 0.05). The first and second stages of labor in the observation group were shorter than those in the control group, and the VAS score was lower than that in the control group (all P < 0.05). The scores of OMS-SF positive emotion in the observation group were higher than those in the control group (P < 0.05). The puerperal pelvic floor function parameters (URA, PUA, BND) in the observation group were lower than those in the control group (P < 0.05). The incidence of pelvic floor dysfunction in observation group was lower than that in control group (P < 0.05). Conclusion Pelvic swing combined with free position can shorten labor time, relieve pain, improve positive psychological score, facilitate early recovery of pelvic floor function, and reduce the incidence of pelvic floor dysfunction. |
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