摘要
目的:研究并探讨应用间苯三酚治疗产程活跃期宫颈水肿的临床效果。方法:选取2016年1月-2017年1月产程活跃期出现宫颈水肿的96例初产妇作为研究对象,采取计算机单盲分组法将产妇分为对照组和观察组,每组48例。对照组局部注射利多卡因和阿托品,观察组在对照组的基础上局部注射间苯三酚。比较两组宫颈水肿治疗效果、宫口扩张速度、宫口全开时间、产程时间、阴道自然分娩率、产后出血量、新生儿Apgar评分、不良事件发生率。结果:观察组宫颈水肿治疗总有效率明显高于对照组(P<0.05)。观察组宫口扩张速度明显大于对照组(P<0.05)。观察组宫口全开时间、产程时间均明显短于对照组(P<0.05)。观察组阴道自然分娩率明显高于对照组(P<0.05)。观察组产后2、24 h出血量均明显少于对照组(P<0.05)。观察组不良事件发生率明显低于对照组(P<0.05)。观察组新生儿的Apgar评分明显高于对照组(P<0.05)。结论:在产程活跃期宫颈水肿产妇中,采用间苯三酚治疗具有显著的效果,可有效加快宫颈扩张速度,加快产程进展,有利于提高阴道自然分娩率,改善母婴结局。
Objective：To study and explore the clinical effect of Phloroglucin in the treatment of cervical edema during active phase.Method：A total of 96 primiparous women with cervical edema during active period from January 2016 to January 2017 were selected as the study subjects and were divided into the control group and the observation group by computer single blind study,48 cases in each group.The control group was treated with Lidocaine and Atropine,the observation group was treated with Phloroglucinol on the basis of the control group.The therapeutic effect of cervix edema,dilatation velocity of cervix,time of the first stage of labor,labor time,vaginal spontaneous labour rate,postpartum hemorrhage,neonatal Apgar score,incidence of adverse events of two groups were compared.Result：The total effective rate of treating cervical edema of the observation group was significantly higher than that of the control group（P〈0.05）.The velocity of cervix dilatation of the observation group was significantly higher than that of the control group（P〈0.05）.Time of the first stage of labor and labor time of the observation group were significantly shorter than those of the control group（P〈0.05）.Vaginal spontaneous labour rate of the observation group was significantly higher than that of the control group（P〈0.05）.The amount of 2,24 hours bleeding of the observation group were significantly less than those of the control group（P〈0.05）.The incidence of adverse events of the observation group was significantly lower than that of the control group（P〈0.05）.The Apgar score of the observation group was significantly higher than that of the control group（P〈0.05）.Conclusion：The use of Phloroglucinol in treatment of cervical edema during active stage is effective,which can accelerate the dilatation velocity of cervical and stage of labor,it is helpful to improve vaginal spontaneous labour rate and maternal and child outcomes.
出处
《中国医学创新》
CAS
2017年第18期31-34,共4页
Medical Innovation of China
基金
深圳市宝安区社会公益项目(2016CX292)
关键词
产程活跃期
宫颈水肿
间苯三酚
产科
Active period of labor
Cervical edema
Phloroglucinol
Obstetrics
