综合干预促进产程进展300例临床观察(1)
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【摘要】 目的 探讨第一产程采用甘油灌肠、人工破膜、间苯三酚静推联合应用对促进产程进展的影响。方法 选择2009年1月至2009年10月住院分娩的初产妇600例,随机分为观察组和对照组,比较两组的宫口开全时间、分娩方式、新生儿窒息及产后出血情况。结果 与对照组相比,观察组产妇宫口开全时间缩短,产后出血量减少,剖宫产率、新生儿窒息率明显降低,差异均有统计学意义(P<0.05~0.01)。结论 第一产程中采用甘油灌肠、人工破膜、间苯三酚静推联合应用综合干预可明显缩短产程,促进产程进展,降低剖宫产率,产后出血量及新生儿窒息发生率,提高产科质量。
【关键词】甘油灌肠; 人工破膜;间苯三酚静推 ;产程进展
Effect of comprehensive intervention on labour progression clinical obseivation of 300 cases
LIU Shu-qing,WANG Yong.The second Hospital ofLiaocheng,Shandong 252601,China
【Abstract】 Objective To explore the effect of intravenous comprehensive intervention with combination of glycerine enena artificial rupture of membrane and phlorogluinol pan injection on labor progression in first labor stage.Methods Selected 600 primipara who had delivery in hospital from January 2009 to October 2009.Randomly divided them into observation group and control group,then compared cervical orifice fully opening time、delivery style、simation of neonatal asphyxia and postpartum hemorrhage in two groups.Results Compared with control group,primipara in observation group had shorter cervical orifice fully opening time,simaller postpartum bleeding,lower incidence rate of cesarean section and neonatal asphyxia.Furthemore the differences were significant(P<0.05~0.01).Conclusion Combination of glycerine enema artificial rupture of membrane diazepam and phloraglacinol injection shorten labor process,promote labor progress decrease the postpartum bleeding,decrease the incidences rate of cesarean section and neonatal asphyxia and boost quality of obstetrics department.
【Key words】
Glycerol enema; Artificial rupture of membrane;Dphloroglucinolneine intravenous injection;Labor progress
随着剖宫产率的提高,在分娩过程中适时干预和恰当处理,可以缩短产程,减轻产妇的痛苦,降低母婴并发症,提高阴道分娩率,从而降低剖宫产率,提高产科质量。甘油灌肠促进直肠下段残留大便排出及加强宫缩利于先露下降,人工破膜有利于胎先露对宫颈直接压迫,引起反射性子宫收缩力加强;间苯三酚是一种非阿托品罂粟碱类的纯平滑肌解痉药,只作用于痉挛的平滑肌,可加速宫颈扩张作用,潜伏期甘油灌肠,活跃期人工破膜加静脉用间苯三酚,可协同作用,更加有效加速产程进展。我院对产妇在潜伏期行甘油灌肠,活跃期人工破膜加静推间苯三酚,可明显缩短产程且对母儿无不良影响,现报告如下。
1 资料与方法
1.1 临床资料
选择2009年1月至2009年10月在我院住院分娩无并发症的正常足月单胎初产妇600例,年龄20~35岁,平均25.55岁,孕周37~41+6周,平均39+2周。600例均已临产进入产程,宫颈口扩张2 cm,无中度以上妊娠高血压综合征,且无影响产程进展的妊娠合并症 ......
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