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后对母婴的影响。方法将宫颈评分8～9分的头位分娩初产妇100例随机分为观察组和对照组各50例。观察组于宫口开大2～3cm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。结果观察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统计学意义(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 discuss effects of cervical injection of lidocaine and atropine in early maternal delivery on mothers and infants.Methods According to Bishop cervix of the uterus maturity grading law grading,100 patients with head presentation（8-9 scores） were divided into experimental group and the control group,which was treated with cervical injection of lidocaine and atropine or not.Results The pain of the experimental group was lighter than that of the control group（P〈0.05）.The active phase time of the experimental group was shorter than that of the control group（P〈0.05）.The incidence of embarrassment and asphyxia of the experimental group was fewer than that of the control group（P〈0.05）.Conclusion The cervical injection of lidocaine and atropine can reduce the incidence of embarrassment and asphyxia.
出处
《西部医学》
2011年第12期2375-2376,共2页
Medical Journal of West China
关键词
活跃期
利多卡因
阿托品
宫颈封闭
Active phase
Lidocaine
Atropine
Cervix of the uterus seal
