摘要
目的探讨利多卡因联合地塞米松治疗产程中宫颈水肿的疗效,并观察对产程的促进作用。方法将产程中发生宫颈水肿的136例产妇随机分为研究组70例和对照组66例。研究组行宫颈注射利多卡因、地塞米松,对照组不行宫颈注射,只作常规观察产程。对两组产妇的宫颈水肿消退情况、宫颈口扩张情况、分娩方式、宫颈裂伤、产后出血及新生儿窒息等情况进行对比分析。结果两组产妇宫颈水肿消退时间、宫口开全时间、阴道分娩率差异均有统计学意义(P<0.01);两组产妇宫颈裂伤率、产后出血率及新生儿窒息率差异无统计学意义(P﹥0.05)。结论利多卡因联合地塞米松宫颈注射对消除产程宫颈水肿效果满意,同时,可减少宫口开全时间、加速产程进展、提高自然分娩率、降低剖宫产率,值得临床推广应用。
Objective To explore the curative effect of lidocaine combined with dexamethasone in the treatment of cervical edema, and to observe the birth process to be facilitated. Methods Production process will happen in 136 cases of cervical maternal edema were randomly divided into study group 70 cases and 66 cases of the control group. Study Group cervical injection of lidocaine, dexamethasone, cervical injection of the control group not only for conventional observation stage of labor. Mothers of two cases of cervical edema, cervical mouth expansion, the delivery mode, cervical laceration, postpartum hemorrhage and newborn asphyxia, etc. were analyzed. Results Two sets of maternal cervical edema time, full-time opening Miyaguchi, vaginal delivery rate differences were statistically significant （P 〈0.01）; two groups of maternal rate of cervical laceration, postpartum hemorrhage rate and rate of neonatal asphyxia was no difference significance （P〉 0.05）. Conclusion Combined with dexamethasone in cervical lidocaine injection to eliminate the effect of birth process satisfaction with cervical edema, meanwhile, can be reduced Miyaguchi opened full-time and accelerate the progress of labor, improve the natural birth rate, lower cesarean section rate, worthy of clinical application.
出处
《中国现代药物应用》
2009年第15期48-49,共2页
Chinese Journal of Modern Drug Application
关键词
利多卡因
地塞米松
宫颈注射
产程
分娩
lidocaine
dexamethasone
cervical injections
birth process
delivery
