摘要
目的 分析产程中静脉注射地西泮对阴道分娩产程和新生儿的影响.方法 选取2009年1月～2010年3月于本院分娩的初产妇180例,将其随机分为观察组和对照组各90例,观察组在人工破膜基础上,静脉注射地西泮10 mg,对照组采用阴道分娩的常规处理,在分娩过程中不应用地西泮.观察记录两组的产程和新生儿窒息与产后出血的发生情况.结果 观察组产妇的总产程为（9.1±1.5）h,对照组产妇的总产程为（11.9±1.2）h,观察组产妇的总产程时间明显短于对照组,差异有统计学意义（P＜0.05）；观察组和对照组孕妇的新生儿窒息率分别为6.7％和18.9％,差异有统计学意义（P＜0.05）.观察组产后子宫收缩出现乏力,血量增加,平均出血量为310 ml,对照组的平均出血量为150 ml,两组间差异有统计学意义（P＜0.05）.结论 于产程活跃期注射地西泮能够明显缩短孕妇产程,加速宫颈口的扩张,但应积极预防新生儿窒息和产后出血的发生.
Objective To study the effects of intravenous injection of diazepam to the labor and neonates of vaginal delivery.Methods 180 cases of primiparas deliveried in our hospital from January 2009 to March 2010 were selected and were randomly divided into observation group and control group with 90 patients in each group.Primiparas in the observation group were given intravenous diazepam 10 mg based on artificial rupture of membranes while primiparas in the control group were given conventional treatment of vaginal delivery withour diazepam.Neonatal asphyxia and the occurrence of postpartum hemorrhage of the two groups were observed and recorded.Results The total stage of labor of observation group was （9.1±1.5） h,while that in the control group was （11.9±1.2） h,observation group was shorter than that of the control group,with statistically difference （P〈0.05）.Neonatal asphyxia rate of observation group and the con- trol group was 6.7% and 18.9% respectively,had statistical difference （P〈0.05）.The observation group occured uterine inertia which further caused more blood loss to 310 ml,while the average amount of bleeding in the control group was 150 ml,with statistical difference （P〈0.05）.Conclusion Intravenous injection of diazepam in the active phase of labor can significantly reduce total stage of labor of primiparas and accelerate the expansion of the cervix,while actively pre- vent neonatal asphyxia and postpartum hemorrhage should be noticed.
出处
《中国当代医药》
2013年第26期45-46,共2页
China Modern Medicine
关键词
地西泮
阴道分娩
新生儿
Diazepam
Vaginal delivery
Neonates
