间苯三酚联合徒手扩张推举宫颈法在经产妇伴羊水胎粪污染产程中的应用(1)
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摘要：目的：观察间苯三酚联合徒手扩张推举宫颈法在促进经产妇伴羊水胎粪污染产程的临床效果以及对母婴安全的影响。
方法：选取2010年12月至2011年12月住院分娩的健康头位经产妇，进入活跃期后，人工破膜发现羊水胎粪污染Ⅰ°—Ⅱ°280例中180例无妊娠期合并症及产科并发症者，按随机数字表法分为观察组90例和对照组90例，观察组给予间苯三酚80mg静脉推注，并施行徒手扩张推举宫颈的方法。对照组给予安定10mg静脉推注。观察两组产程进展及围生期结局。
结果：观察组经阴分娩成功率明显高于对照组(P<0.05)。观察组第一产程活跃期、第二产程均明显短于对照组(均P<0.05)。观察组胎头下降停滞、活跃期停滞发生率，新生儿窒息率及新生儿胎粪吸入性肺炎发生率及均低于对照组(均P<0.05)， 产后出血量无明显差别(P>0.05)。
结论：间苯三酚联合徒手扩张推举宫颈法既能软化宫颈，加速产程进展，减轻产妇的痛苦，又能提高经阴分娩成功率及分娩质量。
关键词：间苯三酚 徒手扩张推举宫颈 软化宫颈 羊水胎粪污染
The phloroglucinol joint unarmed expansion elected the application of the the cervical law by mothers with meconium stained amniotic fluid production process
Fan Conghong Chang Linli Zhou Hui et al
Abstract:Objective:To observe Phloroglucinol combined unarmed expansion made cervical act in promoting multipara with meconium stained amniotic fluid labor clinical effect and influence on maternal and child safety.
Methods:From December to2011-2010December hospital delivery of health head via maternal, enters the active phase, artificial rupture of membranes are found in meconium stained amniotic fluidⅠ °- Ⅱ° 280cases in 180cases without gestational complications and obstetric complications, were randomly divided into the observation group90cases and control group 90 cases observation group was given three, Phloroglucinol 80mg intravenous injection, and the barehanded expansion made cervical approach. The control group was given intravenous injection of diazepam 10mg ......
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