摘要
目的观察间苯三酚、利多卡因联合徒手扩张推举宫颈法治疗产程活跃期宫颈水肿的临床效果。方法选取2008年12月至2009年12月住院分娩的健康头位初产妇,进入活跃期后出现宫颈水肿者200例中160例无妊娠期合并症及产科并发症者,按随机数字表法分为研究组80例和对照组80例。研究组:静脉注射间苯三酚,同时予2%盐酸利多卡因5 mL在宫颈水肿明显处或宫颈3、6、9、12点处分别进行等量注射,并施行徒手扩张推举宫颈的方法。对照组:采用常规方法处理,未破膜者可先行人工破膜,并给予安定10 mg静脉注射缓解宫颈水肿治疗。观察比较2组产妇产程进展情况及围生期结局。结果研究组经阴分娩成功率明显高于对照组(P<0.05)。研究组第一产程活跃期、第二产程均明显短于对照组(均P<0.05)。研究组胎头下降停滞、活跃期停滞发生率,新生儿窒息发生率及产后出血量均低于对照组(均P<0.05)。结论间苯三酚、利多卡因联合徒手扩张推举宫颈法在治疗产程活跃期宫颈水肿中的临床疗效是肯定的,既能缓解宫颈水肿,加速产程进展,减轻产妇的痛苦,又能提高经阴分娩成功率及分娩质量。
Objective To observe the clinical effect of the treatment of cervical edema at the active phase of birth process using expansion of cervix by hand combined with and phloroglucinol and lidocaine.Methods 200 health primiparas who had cervical edema at the active phase of birth process were selected for the test from December of 2008 to 2009,including 160 cases without pregnancy and obstetric complications.It were divided into two groups by random number table method：study group（n=80） and control group（n=80）.Study group：2% lidocaine hydrochloride 5 mL were partes aequales injected at the dropsy place or 3,6,9,12 spot of cervix combined with phloroglucinol intravenous,while unarmed expansion of cervix opening was operated.Control group：The conventional treatment was operated.The pregnant women without rupture of membrane should be operated artificially rupture of membrane first,while 10 mg diazepam was injected intravenous to alleviate cervical edema.The progress of labor and perinatal outcome were observed.Results The success rate of vaginal delivery of the study group was higher than the control group（P〈0.05）,however,the active stage and the second stage of birth process was shorter than the control group（P〈0.05）.The incidence of stagnation of descending of fetal head,stagnation of active stage,neonatal asphyxia and postpartum bleeding was lower than the control group（P〈0.05）.Conclusion The clinical efficacy of it was affirmative that treating cervical edema at the active stage of birth process with unarmed expansion of cervix opening combined with phloroglucinol and lidocaine.It can not only alleviate the cervical edema,accelerate the process of labor,and alleviate the suffering of pregnant women,but also raise spontaneous delivery rate and quality of childbearing.It worth applying in clinical.
出处
《南昌大学学报（医学版）》
CAS
2010年第4期80-82,87,共4页
Journal of Nanchang University：Medical Sciences
关键词
宫颈水肿
间苯三酚
盐酸利多卡因
徒手扩张推举宫颈
产程活跃期
cervical edema
phloroglucinol
lidocaine hydrochloride
unarmed expansion of cervix opening
activephase of birth process
