以新产程标准为指导的产程处理对初产妇母婴结局的影响(1)
[摘要]目的 探讨以新产程标准为指导的产程处理对初产妇母婴结局的影响。方法 选取2015年6月～2016年6月我院收治的初产妇500例，依据随机数字表法分为新标组和旧标组，每组250例。旧标组患者给予旧产程标准为指导的产程处理，新标组给予新产程标准为指导的产程处理，比较两组产程、母婴结局等情况。结果 新标组产妇第一、第二、总产程时间明显高于旧标组，差异有统计学意义(P<0.05)；新标组产妇剖宫产率、产后出血率、产后发热率明显低于旧标组，差异有统计学意义(P<0.05)，两组新生儿窒息率、新生儿入NICU率基本相同，差异无统计学意义(P>0.05)。结论 与旧产程标准比较，以新产程标准为指导的产程处理可有效提高初产妇产程质量，有利于改善初产妇结局，不增加不良新生儿结局发生的风险，值得临床进一步推广。
[关键词]新产程标准；产程处理；初产妇；母婴结局
[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721(2018)3(a)-0124-03
The effects of the production process guided by new production standard on primipara and mother-infant ending
HUANG Li-li LI Wen-min
Department of Obstetrics，Maternal and Child Health Care Hospital of Jiangmen City，Guangdong Province，Jiangmen 529300，China
[Abstract]Objective To discuss the effects of the production process guided by new production standard on primipara and Mother-infant ending.Methods Five hundred patients with primiparar were selected from June 2015 and June 2016 in our hospital，according to the random number table methods，all patients were divided into new standard group (250 cases)and old standard group(250 cases)，old standard group was treated with the production process guided by old production standard，new standard group was treated with the production process guided by new production standard，compare two groups of deal with production，mother-infant ending.Results The first，second，and total production time of the new standard group was significantly higher than that of the old standard group，the differences were statistically significant (P<0.05).The rate of cesarean section，postpartum hemorrhage and postpartum fever of the new standard group were significantly lower than that of the old group，the differences were statistically significant (P<0.05).Neonatal asphyxiation rate and neonatal NICU rate of the new standard group and old standard group were basically the same，the differences were no statistically significant (P>0.05).Conclusion Compared with the old production standard，the process of production process guided by new production standard can effectively improve the quality of birth process，and improve the outcome of primary mothers，does not increase the risk of adverse neonatal outcomes，it′s worth for further clinical promotion.
[Key words]New production standard；Deal with production；Primipara；Mother-infant ending
傳统产程标准一直是临床上处理产程的依据，不仅推进了产程分娩规范化，同时能够动态的表达产程进展，帮助发现产程异常，而降低分娩的意外风险和难产风险，提升初产妇自然分娩和胎儿的正常出生[1]。但近年来由于生活节奏的改变，现代女性分娩年龄偏大及产妇和胎儿体质量增加，导致产科干预越来越多，分娩的难度也越来越高[2]；而传统产程处理作为产程重要的环节已经满足不了现代人的分娩情况，甚至会导致初产妇及婴儿的生命安全[3]。有研究表明，新产程标准作为产程处理能够有效提升初产妇母婴的正常分娩[4]。为此，本研究通过给予初产妇以新产程标准为指导的产程处理，探讨其对初产妇结局的影响，现报道如下。, 百拇医药(黄鹂鹂 黎文敏)
[关键词]新产程标准；产程处理；初产妇；母婴结局
[中图分类号] R714 [文献标识码] A [文章编号] 1674-4721(2018)3(a)-0124-03
The effects of the production process guided by new production standard on primipara and mother-infant ending
HUANG Li-li LI Wen-min
Department of Obstetrics，Maternal and Child Health Care Hospital of Jiangmen City，Guangdong Province，Jiangmen 529300，China
[Abstract]Objective To discuss the effects of the production process guided by new production standard on primipara and Mother-infant ending.Methods Five hundred patients with primiparar were selected from June 2015 and June 2016 in our hospital，according to the random number table methods，all patients were divided into new standard group (250 cases)and old standard group(250 cases)，old standard group was treated with the production process guided by old production standard，new standard group was treated with the production process guided by new production standard，compare two groups of deal with production，mother-infant ending.Results The first，second，and total production time of the new standard group was significantly higher than that of the old standard group，the differences were statistically significant (P<0.05).The rate of cesarean section，postpartum hemorrhage and postpartum fever of the new standard group were significantly lower than that of the old group，the differences were statistically significant (P<0.05).Neonatal asphyxiation rate and neonatal NICU rate of the new standard group and old standard group were basically the same，the differences were no statistically significant (P>0.05).Conclusion Compared with the old production standard，the process of production process guided by new production standard can effectively improve the quality of birth process，and improve the outcome of primary mothers，does not increase the risk of adverse neonatal outcomes，it′s worth for further clinical promotion.
[Key words]New production standard；Deal with production；Primipara；Mother-infant ending
傳统产程标准一直是临床上处理产程的依据，不仅推进了产程分娩规范化，同时能够动态的表达产程进展，帮助发现产程异常，而降低分娩的意外风险和难产风险，提升初产妇自然分娩和胎儿的正常出生[1]。但近年来由于生活节奏的改变，现代女性分娩年龄偏大及产妇和胎儿体质量增加，导致产科干预越来越多，分娩的难度也越来越高[2]；而传统产程处理作为产程重要的环节已经满足不了现代人的分娩情况，甚至会导致初产妇及婴儿的生命安全[3]。有研究表明，新产程标准作为产程处理能够有效提升初产妇母婴的正常分娩[4]。为此，本研究通过给予初产妇以新产程标准为指导的产程处理，探讨其对初产妇结局的影响，现报道如下。, 百拇医药(黄鹂鹂 黎文敏)