临床路径对降低剖宫产率的应用研究

王红

（咸阳市第一人民医院，陕西 咸阳，712000）

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摘要：

目的 评价临床路径对降低剖宫产率的应用价值，总结路径管理经验。方法 选取2014年1月至2016年5月我院收治的848例临产产妇，据病号顺序随机分为常规组、路径组，各424例。常规组产妇给予常规处理，路径组产妇在进入第二产程前采用路径处理，观察比较两组产妇的分娩方式及产程。结果 路径组产妇中转剖宫产率、社会指征中转剖宫产率、临床指针中转剖宫产率、器械干预率、药物干预率分别为6.1%、1.4%、4.7%、0.9%、18.6%，均低于常规组产妇的13.2%、4.0%、9.2%、5.9%、29.2%，差异有统计学意义（P<0.05）；路径组产妇活跃期、第一产程、第二产程时间短于常规组，差异有统计学意义（P<0.05）。 结论 临床路径可降低剖宫产率，缩短产程，提高产妇配合度，使产妇维持更好的产力，减少不必要的干预。

关键词：临床路径；剖宫产；社会因素；产程

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)07-0121-02

Application research on clinical pathway to reduce the rate of cesarean delivery
WANG Hong
(the First People's Hospital of Xianyang, Xianyang 712000, China)

ABSTRACT: Objective To evaluate of clinical pathway in reducing the rate of cesarean section, and sum up the path management experience. Methods From January 2014 to May 2016, 848 cases of pregnant women in our hospital were selected, and the subjects were randomly divided into normal group and path group according to the order, with 424 cases in each group. The conventional group receivced the conventional treatment, the path group received the path treatment before entering the second stage, the delivery mode and labor time of the two groups were compared. Results The path group's transfer rate of cesarean section and cesarean section indication of social transfer, clinical guidelines for transfer of cesarean section, instrument intervention rate, drug intervention rates were 6.1%, 1.4%, 4.7%, 0.9%, 18.6% respectively, which were lower than 13.2%, 4%, 9.2%, 5.9%, 29.2% of the conventional group, the differences were statistically significant (P<0.05); the active period, the frist and second stage labor time were shorter than those of the conventional group, the differences were statistically significant (P<0.05). Conclusion Clinical pathway treatment can reduce cesarean section rate, shorten the labor time, improve maternal cooperate ability, maintain better productivity, and reduce unnecessary intervention.
KEYWORDS: clinical pathway; cesarean section; social factors; stagnation

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