摘要
目的:探讨新产程标准管理对高龄初产妇妊娠结局的影响,分析该标准管理高龄初产妇的可行性。方法:以连续入组的方式收集2015年1月至2016年12月足月分娩的150例高龄产妇,按照数字列表法分为研究组与对照组,各75例,其中对照组采用"Friedman产程标准"管理,研究组采用《新产程标准及处理的专家共识(2014)》进行管理,比较两组患者剖宫产率、人工干预率及母婴妊娠结局。结果:1)研究组剖宫产分娩率为22.67%(17例),对照组为38.67%(29例),两组比较差异有统计学意义(χ~2=4.515,P<0.05);2)研究组人工破膜、会阴侧切术、低位产钳术低于对照组,但差异无统计学意义(χ~2=2.516、1.758、0.118,P>0.05),研究组催产素使用率显著低于对照组,两组比较差异有统计学意义(χ~2=3.803,P<0.05);3)研究组产妇、新生儿分娩相关发生率为8.00%,对照组为2.67%,两组比较差异无统计学意义(Fisher=2.113,P>0.05);4)两组新生儿均为活产,1min与5min Apgar评分差异无统计学意义(t=1.475、1.536,P>0.05)。结论:新产程标准有助于降低高龄初产妇剖宫产率,且具有较高的安全性。
Objective：To explore the effect of new standard management on the outcome of early pregnancy in pregnant women, and to analyze the feasibility of the standard management of primiparous women Method：Take a continuous approach to collect full-time delivery of 150 cases of elderly mothers from January 2015-December 2016. According to the digital list method is di-vided into study group and control group of 75 cases^the control group was managed by ^Friedman Labor Standard5%The study group used the 4〈new labor standards and treatment of expert consensus （2014）^10 manage, the rate of cesarean section, artifi-cial intervention rate and maternal pregnancy outcome were compared between the two groups. Result： 1 ）T h e rate of cesarean delivery was 22. 67% （17） in the study group and 38. 67% （29） in the control group, the difference was statistically significant （χ2 =4. 515, P 〈 0. 05）. 2）The study group of artificial rupture of membranes,perineal incision,lower clamp forceps lower than the control group, but the difference was not statistically significant（χ2 = 2. 516〉1. 758〉0. HSyP 0. 05） ^The rate of ox-ytocin in the study group was significantly lower than that in the control group the difference was statistically significant （χ2 = 3. 803, P 〈 0. 05）. 3）The incidence of maternal and neonatal births was 6% in the study group and 2. 7% in the control group,respectively. There was no significant difference （Fisher =2. 113, P〉0. 05）. 4） Two groups of newborns are live birthslmin and 5min Apgar scores was no significant difference between two groups （t=1. 475,1. 536,P 〉 0. 05）. Conclu-sion： The new standard of labor can help to reduce the rate of cesarean section in the elderly, and it has high safety.
作者
周晓丽
刘志强
Zhou Xiaoli;Liu Zhiqiang(Binzhou Medical College, Binzhou, Shandong 25660)
出处
《中外女性健康研究》
2018年第2期19-20,30,共3页
Women＇s Health Research
关键词
新产程标准
高龄
初产妇
任娠结局
New production standard
Old age
Primipara
Pregnancy outcome
