摘要
目的探讨分娩过程中正常产妇能量摄入方式的合理管理方法。方法对温州市人民医院2016年1月至2016年12月收治的400例初产妇进行研究,将其随机分为4组,每组各100例。A组给予流体或半流体食物,200mL/h补充能量,严禁固体食物。B组产妇根据产妇意愿进食固体,不限量。C组静脉滴注给予0.9%生理盐水(NS)200mL/h。D组静脉滴注给予0.9%NS和5%葡萄糖(GS)交替执行,200mL/h。对比四组产妇分娩方式、产后出血量、活跃期时间、第二产程时间以及新生儿窒息率。结果 A组和D组的阴道分娩率较高,分别为96.00%和97.00%。B组和C组的剖宫产率较高,均为13.00%。四组产妇的分娩方式比较差异有统计学意义(P<0.05)。A组的阴道分娩率显著高于B组和C组(χ~2值分别为4.114、9.709,均P<0.05),D组的阴道分娩率显著高于B组和C组(χ~2值分别为5.503、11.339,均P<0.05),A组与D组的阴道分娩率(χ~2=0.148,P>0.05)、B组与C组的阴道分娩率比较差异均无统计学意义(χ~2=0.627,P>0.05)。四组产妇的第二产程时间、活跃期时间比较均有显著性差异(F值分别为4.897、4.592,均P<0.05),进一步每两组之间的比较后发现,A组产妇的第二产程时间、活跃期时间均显著短于B组和C组(t值分别为5.829、9.815、3.873、2.756,均P<0.05),D组产妇第二产程时间、活跃期时间均显著短于C组(t值分别为3.519、3.956、5.561、10.964,均P<0.05),A组与D组的活跃期时间比较无显著性差异(t=0.182,P>0.05),但A组第二产程时间显著长于D组(t=1.674,P<0.05),C组的活跃期时间、第二产程时间均显著短于B组(t值分别为2.871、5.666,均P<0.05)。四组产妇的产后出血量、新生儿Apgar评分比较有显著性差异(F值分别为4.667、2.346,均P<0.05),B组产后出血量最多,D组产后出血量最少,且B组新生儿Apgar评分最低,A组新生儿Apgar评分最高。四组胎儿窘迫发生率比较无显著性差异(P>0.05),新生儿的体重比较无显著性
Objective To explore the reasonable management methods of energy intake patterns of normal maternity patient during childbirth.Methods 400 cases of primipara admitted to our hospital during the period from January 2016 to December 2016 were studied and randomly divided into four groups with 100 cases in each group.Group A was given fluid or semi-fluid food,200 ml/h energy supplement,and solid food was strictly forbidden.Group B patients took solid food according to their wishes with no restriction.Group C was given 0.9%NS 200 ml/h intravenously.Group D received intravenous drip of 0.9%NS and 5%glucose(GS)alternately,with the dose of 200 ml/h.The mode of delivery,postpartum hemorrhage,active period,second stage of labor and neonatal asphyxia rate were compared among the four groups.Results The vaginal delivery rates were higher in group A and group D,96.00%and 97.00%,respectively.The cesarean section rate was higher in group B and group C,13.00%for both.There was significant difference in delivery mode among the four groups(P<0.05).Vaginal birth-giving of group A was significantly higher than that of group B and group C respectively(χ~2 value was 4.114,and 9.709 respectively,and P<0.05),and vaginal birth-giving in group D was significantly higher than that of group B and group C respectively(χ~2 value was 5.503,11.339 respectively,P<0.05).No statistical difference in vaginal birth-giving for two groups of group A and group D(χ~2=0.148,P>0.05),and two groups of group B and group C(χ~2=0.627,P>0.05)was observed.The period of second stage of labor,and the'active'period were found to have significant statistical difference among the four groups(F=4.897,and 4.592 respectively,P<0.05),and further comparison of every two groups found that group A’s second stage of labor,and the active period were significantly shorter than those of group B and group C(t was 5.829,9.815,3.873,2.756 respectively,P<0.05),group D’s second stage of labor,the active period were significantly shorter than those of group C(t was 3.519,3.
作者
陶洁静
叶琳
朱秀梅
王叶平
干爱萍
TAO Jiejing;YE Lin;ZHU Xiumei;WANG Yeping;GAN Aiping(Department of Obstetrics,People's Hospital of Wenzhou City,Wenzhou 325000,Zhejiang,China)
出处
《中国妇幼健康研究》
2019年第8期976-979,共4页
Chinese Journal of Woman and Child Health Research
基金
温州市科技资助项目(YZ20160554)
关键词
正常产妇
分娩
入量管理
静脉补液
效果
normal parturient
delivery
intake management
intravenous fluid infusion
effect
