摘要
目的 探讨缩宫素联合间苯三酚对妊娠高血压产妇产程时间、剖宫产率及产后并发症发生率的影响。方法 选取2020年3月至2022年2月在安阳市第二人民医院分娩的76例妊娠高血压孕妇作为研究对象,随机分为对照组和观察组,各38例。对照组孕妇接受缩宫素注射液静脉滴注治疗,观察组孕妇在缩宫素注射液基础上接受间苯三酚注射液静脉推注治疗。比较两组孕妇产程时间、分娩方式及产后并发症发生情况。结果 观察组阴道分娩孕妇第一产程及总产程时间均短于对照组(P<0.05),观察组阴道分娩孕妇第二产程及第三产程时间与对照组孕妇比较,差异无统计学意义(P>0.05)。观察组孕妇剖宫产率[5.26%(2/38)]低于对照组[23.68%(9/38)](χ^(2)=5.208,P=0.022),观察组孕妇阴道分娩率[94.74%(36/38)]高于对照组[76.32%(29/38)](χ^(2)=5.208,P=0.022)。观察组孕妇产后宫颈水肿、宫颈裂伤、新生儿窒息及产后出血总发生率低于对照组(P<0.05)。结论 缩宫素联合间苯三酚能有效缩短妊娠高血压产妇产程时间,降低剖宫产率及产后并发症发生率,安全性较高。
Objective To explore the effect of oxytocin combined with phloroglucinol on the duration of labor, the rate of cesarean section and the incidence of postpartum complications in pregnant women with hypertension.Methods Seventy-six pregnant women with gestational hypertension who delivered in the Second People’s Hospital of Anyang from March 2020 to February 2022 were selected as the study subjects and randomly divided into control group and observation group, with 38 cases in each group. The pregnant women in the control group received intravenous infusion of oxytocin injection, while the pregnant women in the observation group received intravenous infusion of phloroglucinol injection on the basis of oxytocin injection. The time of delivery, delivery mode and postpartum complications were compared between the two groups.Results The duration of first and total stages of labor in vaginal delivery in the observation group were shorter than those in the control group(P<0.05), and no statistical difference was found in the duration of second and third stages of labor in vaginal delivery between two groups(P>0.05).The cesarean section rate of pregnant women in the observation group [5.26%(2/38)] was lower than that in the control group [23.68%(9/38)](χ^(2)=5.208, P=0.022), the vaginal delivery rate of pregnant women in the observation group [94.74%(36/38)] was higher than that in the control group [76.32%(29/38)](χ^(2)=5.208,P=0.022). The total incidence of postpartum cervical edema, cervical laceration, neonatal asphyxia and postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05).Conclusion The combination of oxytocin and phloroglucinol can effectively shorten the delivery time of pregnant women with hypertension, reduce the rate of cesarean section and postpartum complications, and has high safety.
作者
程璐妍
李枫
谢美霞
CHENG Luyan;LI Feng;XIE Meixia(Department of Obstetrics and Gynecology,the Second People’s Hospital of Anyang,Anyang 455000,China)
出处
《河南医学研究》
CAS
2023年第3期528-530,共3页
Henan Medical Research
关键词
妊娠高血压
缩宫素注射液
间苯三酚注射液
并发症
产程时间
剖宫产率
pregnancy induced hypertension
oxytocin injection
phloroglucinol injection
complication
labor process time
cesarean section rate
