[经典]间苯三酚对产程影响的临床观察

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1、[经典]间苯三酚对产程影响的临床观察间苯三酚对产程影响的临床观察【摘耍】目的观察产程活跃期人工破膜加静脉注射间苯三酚对产程的影响。方法选择正常初产妇100例随机分成2组：A组50例丁活跃期早期人丄破膜；B组50例于活跃期早期人工破膜加间苯三酚80mg静脉注射(时间>2min)；另随机抽取同期产程未做干预的正常初产妇50例作对照组。观察3组的产程变化及母婴情况。结果3组的总产程差异有统计学意义，活跃期早期人工破膜可加速产程进展(P〈0・05)；活跃期早期人工破膜加静脉注射间苯三酚可更加有效地加速产程进展(P<0.01)o3组产后出血和新生儿Apgar评分差异无统计学意义。结论活跃期早期

2、人工破膜加静脉注射间苯三酚可有效加速产程进展，减轻分娩疼痛，且对母婴无明显不良影响。❷【关键词】活跃期早期；人工破膜；间苯三酚；产程❷❷ClinicalobservationonprogressofloborwithphloroglucinolTianPing.0bstetricsandGynecology,Women'sandChildren,sHealthCenterofWuhanCity,Hubei430015,China[Abstract]ObjectiveToobservetheimpactofintravenousinjectionPhloroglucinolwithar

3、tificialruptureofmembranesduringtheactivephaseoflabor・Methods100normalprimiparaswererandomlydividedinto2groups:50patientsofAgroupacceptedartificialruptureofmembranesintheintheearlyactiveperiod.50patientsofBgroupacceptedartificialruptureofmembranesandPhloroglucinolintravenousinjection80mg(time>2

4、minutes)intheearlyactiveperiod.Another50normalprimiparaswererandomsampleascontrolgroup,withoutmakingearlyinterventioninthesameperiod.Thechangeofprogressoflaborandsituationofinfantwereobservedinthreegroups.ResultsComparethetotalprocess,thedifferenceof3groupwassignificant・Itcouldacceleratetheprog

5、ressoflaborbyartificialruptureofmembranesinearlyactiveperiod(P<0.05).ItwouldbemoreeffectivelytoacceleratetheprogressoflaborbyartificialruptureofmembranesandintravenousinjectionofPhloroglucinolinearlyactiveperiod(P<0.01).ThedifferenceofpostpartumhemorrhageandneonatalApgarscorewerenotstatisticall

6、ysignificantamongthe3groups・ConclusionItiseffectivetoacceleratetheprogressandreducethepainoflaborbyartificialruptureofmembranesandintravenousinjectionofPhloroglucinolinearlyactiveperiod.Andthismethodwillnothaveadverseeffectstomothersandchildren.❷[Keywords】Earlyactiveperiod;Artificialruptureofme

7、mbranes;Phloroglucinol;Progressoflabor近年来剖宫产率逐年提髙，其中许多产妇因无法耐受长吋间的分娩痛而要求行剖宫产。在分娩过程中适时干预和恰当处理，可以缩短产程，减轻产妇的痛苦，提高阴道分娩率，从而降低剖宫产率，提高产科质量。武汉市妇女儿童医疗保健中心产科选择正常初产妇100例随机分成2组于活跃期早期行人工破膜干预或于活跃期早期行人工破膜加间苯三酚80mg静脉注射干预，并随机抽取同期产程未作干预的正常初产妇50例作对照，