摘要
目的:探讨分娩镇痛与间苯三酚联合对宫颈不成熟产妇的应用效果及其对新生儿脐动脉血气指标的影响。方法:选取226例宫颈不成熟产妇为研究对象,依据产前治疗方式不同分为对照组(n=105,常规治疗)和观察组(n=121)。对照组产妇予以常规治疗;观察组产妇予以常规治疗+分娩镇痛+间苯三酚治疗。比较两组产妇促宫颈成熟效果、产程、不同时间点疼痛情况、新生儿脐动脉血气指标及妊娠结局。结果:观察组产妇促宫颈成熟效果优于对照组(P<0.05);第一产程潜伏期和活跃期、总产程均短于对照组(P<0.05);视觉模拟(VAS)评分低于对照组(P<0.05)。观察组新生儿的pH值、二氧化碳分压、氧分压均优于对照组(P<0.05)。观察组产妇不良妊娠结局发生率低于对照组(P<0.05)。结论:分娩镇痛联合间苯三酚应用可促进产妇宫颈成熟,缩短产程,减轻疼痛,改善新生儿脐动脉血气指标,减少不良妊娠率。
Objective:To explore the effect of combined application of labor analgesia and phloroglucinol on parturients with cervical immaturity and the influence on neonatal umbilical artery blood gas indexes.Methods:226 parturients with cervical immaturity were classified into control group(routine treatment,n=105)and observation group(routine treatment+labor analgesia+phloroglucinol,n=121)by means of different prenatal treatment methods.The cervical maturity promoting effect,labor process and pain status at different time points in the two groups were evaluated.The changes of umbilical artery blood gas indexes were observed in both groups,and the pregnancy outcomes were compared.Results:The observation group had higher total effective rate of cervical maturity promoting than the control group,and the first stage of labor incubation period,active period and total labor in the observation group were shorter than those in the control group(P<0.05).The visual analogue scale(VAS)scores at various time points were lower in the observation group(P<0.05).The pH value,partial pressure of carbon dioxide and partial pressure of oxygen in the observation group were better than those in the control group(P<0.05).The adverse pregnancy outcomes incidence in observation group was lower compared to the control group(P<0.05).Conclusion:The combined application of labor analgesia and phloroglucinol can promote the cervical maturity of primiparas,shorten the labor process,relieve the pain,improve the umbilical artery blood gas indexes of neonates,and reduce the rate of adverse pregnancy.
作者
王璇
刘钦文
杨慧丽
WANG Xuan;LIU Qin-wen;YANG Hui-li(Department of Obstetrics,Jiaozhou Central Hospital of Qingdao,Qingdao 266300,Shandong,China)
出处
《川北医学院学报》
2025年第8期1053-1055,1074,共4页
Journal of North Sichuan Medical College
基金
山东省青岛市医疗卫生重点学科建设项目。
关键词
分娩镇痛
间苯三酚
初产妇
宫颈成熟
产程
疼痛
血气分析
Labor analgesia
Phloroglucinol
Primiparas
Cervical maturity
Labor process
Pain
Blood gas analysis
