催眠无痛暗示法在产妇无痛分娩中的应用效果(1)
[摘要]目的 探讨催眠无痛暗示法在产妇无痛分娩中的应用效果。方法 选取2017年7月～2018年12月我院收治的100例无痛分娩的产妇作为研究对象，按照随机数字表法分为对照组(n=50)和观察组(n=50)。对照组采用分娩常规护理，观察组在对照组基础上采用催眠无痛暗示法。比较两组分娩中视觉模拟量表(VAS)评分、分娩中各产程时间、产后出血量、新生儿结局及分娩方式。结果 观察组第一、二、三产程的VAS评分低于对照组，差异有统计学意义(P<0.05);观察组第一、二、三产程短于对照组，差异有统计学意义(P<0.05);观察组产后出血量少于对照组，胎儿窘迫率、新生儿窒息率低于对照组，差异均有统计学意义(P<0.05);观察组剖宫产率低于对照组，差异有统计学意义(P<0.05)。结论 催眠无痛暗示法应用产妇无痛分娩中，可减轻产妇分娩疼痛，缩短产程时间，减少产后出血，改善妊娠结局。
[关键词]产妇;无痛分娩;催眠无痛暗示法;妊娠结局
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)4(a)-0231-03
[Abstract] Objective To explore the application effect of hypnotic painless suggestion method in painless delivery of parturients. Methods A total of 100 cases of painless childbirth in our hospital from July 2017 to December 2018 were selected as the research objects. According to random number table method， they were divided into control group (n=50) and observation group (n=50). The control group received routine childbirth nursing， while the observation group received hypnotic painless suggestion on the basis of the control group. The visual analogue score (VAS) during delivery， the duration of labor， the amount of postpartum hemorrhage， the outcome of the newborn and the mode of delivery were compared between the two groups. Results The VAS scores of the first， second and third stages of labor in the observation group were lower than those in the control group， and the differences were statistically significant (P<0.05). The duration of the first， second and third stages of labor in the observation group were shorter than that in the control group (P<0.05). The amount of postpartum hemorrhage in the observation group was less than that in the control group， fetal distress rate and neonatal asphyxia rate in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The rate of cesarean section in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion The application of hypnotic painless suggestion method in painless delivery of parturients can alleviate the pain of parturients， shorten the duration of labor， reduce postpartum hemorrhage and improve pregnancy outcomes.
[Key words] Maternal; Painless childbirth; Hypnosis painless implication; Pregnancy outcome
在分娩過程中，产妇承受极为强烈的疼痛，产妇长时间处于疼痛状态，可严重影响子宫收缩、延长分娩产程，对产妇及新生儿产生不良结局[1]。在产妇分娩中怎样有效减轻产妇疼痛，已成为临床医生关注的重点。随着无痛分娩概念的提出，使用麻醉、镇痛药物可减轻产妇分娩疼痛感，但对产妇及新生儿具有一定影响[2-3]。催眠可快速、安全有效提高疼痛阈值的方法，可减轻因疼痛所致的负面情绪，而催眠无痛暗示法为一种新型的护理方法，利用催眠的效果提高产妇疼痛阈值，使产妇处于被催眠状态，暂时减轻或丧失痛觉，目前已开始用于产妇无痛分娩[4]。为降低产妇分娩疼痛、改善新生儿结局，本研究选取100例无痛分娩的产妇作为研究对象，探讨催眠无痛暗示法的临床价值，现报道如下。, http://www.100md.com(郑月梅 黄伟嫦)
[关键词]产妇;无痛分娩;催眠无痛暗示法;妊娠结局
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2020)4(a)-0231-03
[Abstract] Objective To explore the application effect of hypnotic painless suggestion method in painless delivery of parturients. Methods A total of 100 cases of painless childbirth in our hospital from July 2017 to December 2018 were selected as the research objects. According to random number table method， they were divided into control group (n=50) and observation group (n=50). The control group received routine childbirth nursing， while the observation group received hypnotic painless suggestion on the basis of the control group. The visual analogue score (VAS) during delivery， the duration of labor， the amount of postpartum hemorrhage， the outcome of the newborn and the mode of delivery were compared between the two groups. Results The VAS scores of the first， second and third stages of labor in the observation group were lower than those in the control group， and the differences were statistically significant (P<0.05). The duration of the first， second and third stages of labor in the observation group were shorter than that in the control group (P<0.05). The amount of postpartum hemorrhage in the observation group was less than that in the control group， fetal distress rate and neonatal asphyxia rate in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). The rate of cesarean section in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion The application of hypnotic painless suggestion method in painless delivery of parturients can alleviate the pain of parturients， shorten the duration of labor， reduce postpartum hemorrhage and improve pregnancy outcomes.
[Key words] Maternal; Painless childbirth; Hypnosis painless implication; Pregnancy outcome
在分娩過程中，产妇承受极为强烈的疼痛，产妇长时间处于疼痛状态，可严重影响子宫收缩、延长分娩产程，对产妇及新生儿产生不良结局[1]。在产妇分娩中怎样有效减轻产妇疼痛，已成为临床医生关注的重点。随着无痛分娩概念的提出，使用麻醉、镇痛药物可减轻产妇分娩疼痛感，但对产妇及新生儿具有一定影响[2-3]。催眠可快速、安全有效提高疼痛阈值的方法，可减轻因疼痛所致的负面情绪，而催眠无痛暗示法为一种新型的护理方法，利用催眠的效果提高产妇疼痛阈值，使产妇处于被催眠状态，暂时减轻或丧失痛觉，目前已开始用于产妇无痛分娩[4]。为降低产妇分娩疼痛、改善新生儿结局，本研究选取100例无痛分娩的产妇作为研究对象，探讨催眠无痛暗示法的临床价值，现报道如下。, http://www.100md.com(郑月梅 黄伟嫦)