摘要
目的分析产程活跃期应用间苯三酚的140例临床效果。方法选取我院初产妇140例,收治时间在2014年4月~2016年6月期间,将初产妇分为两组,每组产妇70例,在产妇宫口开大3cm左右时,观察组产妇采用间苯三酚静脉推注,对照组采用地西泮静脉推注,观察分析两组产妇用药后宫颈扩张速度、宫口开全平均时间、第二产程时间、产后出血量、胎儿窘迫发生率、剖宫产发生率等。结果观察组产妇用药后宫颈扩张速度(2.8±1.5)cm/h、宫口开全平均时间(3.86±0.15)h、第二产程时间(40.12±3.21)min、产后出血量(135.21±30.45)m L优于对照组产妇;观察组产妇用药后并发症发生率4.29%低于对照组;观察组产妇用药后的胎儿窘迫发生率1.43%、剖宫产发生率5.71%均低于对照组(P<0.05)。结论给予初产妇在产程活跃期使用间苯三酚后,不仅能使产妇宫颈较快扩张、预防宫颈水肿,促进产程进展,还能有效改善母婴预后,提高阴道分娩率,降低剖宫产率,为初产妇产程活跃期首选用药干预方式,值得在产程活跃期推广应用。
Objective To analyze the clinical effect of phloroglucinol in the active stage of labor. Methods 140 eases of primipara in our hospital from April 2014 to June 2016 were selected. The primipara was divided into two groups. In the maternal cervix 3 cm wide open, patients in observation group were treated with Intravenous infusion of phloroglucinol, and patients in control group were treated with intravenous bolus injection of diazepam. The rate of cervical dilatation, the mean time of cervix opening, the time of the second stage of labor, the amount of postpartum hemorrhage, the incidence of fetal distress, cesarean section incidence and so on were observed and analyzed. Results In observation The rate of cervix dilation was （2.8 ± 1.5） cm / h, the average time of cervix was （3.86 ± 0.15） h, the second stage of labor was （40.12 ± 3.21） rain, and the postpartum hemorrhage was （135.21 ±30.45）mL, which were all better than those of control group, The incidence rate of complications in the observation group was 4.29% lower than that in the control group. The rate of fetal distress in the observation group was 1.43%, and the rate of cesarean section was 5.71% in the observation group, which were lower than those in the contrOl group （P 〈 0.05）. Conclusion The use of phloroglucinol in the active period of labor can not only make the cervix rapid expansion, prevent cervical edema, promote the progress of labor, but also improve the prognosis of maternal and neonatal, improve the rate of vaginal delivery, and reduce cesarean section rate. It is the drug of choice for primipara active intervention, and it is worth promoting the application of active labor stage.
出处
《中国医药科学》
2017年第2期93-95,共3页
China Medicine And Pharmacy
关键词
产程活跃期
间苯三酚
地西泮
Active stage of labor
Phloroglucinol
Diazepam
