摘要
目的探讨初产妇头位分娩活跃期宫颈注射利多卡因和阿托品对母婴的影响。方法按Bishop宫颈成熟度评分法,将100例宫颈评分为8～9分的头位分娩初产妇分为试验组和对照组各50例。试验组于宫口开大2～3 cm时,宫颈注射利多卡因和阿托品;对照组不加任何处理。分别记录两组产痛、产程、分娩方式、胎儿和新生儿情况。结果试验组产痛的程度明显轻于对照组（P〈0.05）;活跃期时限明显短于对照组（P〈0.05）;宫内窘迫和新生儿窒息发生率及剖宫产率明显低于对照组（P〈0.05）;第二产程、第三产程两组比较,差异无显著性意义（P〉0.05）。结论在产程活跃初期,对宫颈评分8～9分的初产妇进行利多卡因和阿托品宫颈封闭可缩短第一产程活跃期,降低宫内窘迫和新生儿窒息及剖宫产率。
Objective To assess the effect of cervical injection of lidocaine and atropine in early phase of head position active childbirth on primipara. Methods One-hundred primipara with Bishop cervical ripeness score 8 - 9 and head position childbirth were allocated to either experimental group （ 50 cases ） or control group （ 50 cases ）. Cervical injection of lidocaine and atropine were given to experimental group when the cervical orifice was 2 -3 era, while no treatment was given to control group. Labor pain, birth process, mode of delivery, fetal and neonatal status were recorded for both groups. Results The degree of labor pain in experimental group was less severe than that in control group （ P 〈 0. 05 ） , the active phase in experimental group was shorter than that of control group （ P 〈 0. 05 ） , the prevalence of intrauterine distress, neonatal asphyxia and uterine-incision delivery were much lower than those in control group （ P 〈0. 05 ）. The second and the third course of childbirth were similar in both groups without statistical difference （ P 〉 0. 05 ）. Conclusion Cervical injection of Lidocaine and atropine could shorten the first course of childbirth of primipara with Bishop score 8 - 9 and reduce intrauterine distress, neonatal asphyxia and uterine-incision delivery.
出处
《实用医院临床杂志》
2009年第4期79-80,共2页
Practical Journal of Clinical Medicine
关键词
分娩
利多卡因
阿托品
宫颈封闭
母亲
婴儿
Childbirth
Lidocaine
Atropine
Cervix of the uterus seal
Mother
Infant
