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1、间苯三酚联合地西泮在活跃期停滞中的应用朱雪霞1周丽霞2杨承东1（1.广东省广州市白云区妇幼保健院5104002.广州市白云区龙归华侨医院510445)【摘要】 目的：探讨间苯三酚联合地西泮在活跃期停滞时促进产程进展的疗效。方法：将476例活跃期停滞的产妇随机分为两组（每组238例），观察组予静脉推注间苯三酚80mg和地西泮10mg，对照组只予静脉推注地西泮10mg，观察两组的活跃期时间、第二产程的时间、分娩结局、产后2小时出血量及新生儿Apgar评分。结果：观察组活跃期时间平均为(172.31±24.11)min,剖宫产率17.647%,阴道分娩率82.35%
2、；对照组活跃期时间平均为（220.32±35.23)min,剖宫产率28.99%,阴道分娩率71%,两组比较差异有统计学意义（P<0.05)。两组在第二产程时间、产后2小时出血量、新生儿Apgar评分比较差异无统计学意义（P>0.05)。结论：间苯三酚联合地西泮应用在活跃期停滞时疗效显著，能促进产程进展，提高阴道分娩率，减少剖宫产率，并对第二产程及产后2小时出血量、新生儿评分无不良影响，值得推广。【关键词】间苯三酚联合地西泮活跃期停滞TheapplicationofPhloroglucinolcombinedwithDiazepaminProtractedac
3、tivephaseZHUXue-xia1,ZHULi-Xia2,YANGCheng-Dong11.MotherandChildHospitalofBaiyunstrict,Guangzhou510400,2.LongGuiOverseasChineseHospitalofBaiyunstrict,Guangzhou510445.[Abstract]Objective:Toevaluatetheeffectivenessofphloroglucinolcombinedwithdiazepaminprotractedactivephase.Methods:Puer
4、peraswithprotractedactivephase476caseswereselected,andwererandomlydividedintotwogroups(238casespergroup),thestudygroupwasgivenphloroglucinol80mganddiazepam10mginintravenousinjection,andthecontrolgroupwasgivendiazepam10mginintravenousinjection.Timeofactivephaseandsecondstageoflabor,d
5、eliveryoutcomes,postpartumbloodingin2hoursandtheApagarscoreofthenewbornwereobservedafteradministration.Results:Timeofactivephasewas(172.31±24.11)min,cesareansectionratewas17.647%,vaginaldeliveryratewas82.35%inthestudygroup,andwas（220.32±35.23)min,28.99%,71%inthecontrolgroup,thediffe
6、rencesweresignificant(P<0.05).Butthedifferenceswerenotsignificantinthetimeofsecondstageoflabor,postpartumbloodingin2h,andtheApagarscore.(P>0.05)Conclusion:Phloroglucinolallydiazepamworthwidelyusedwhichhaveagoodeffectinprotractedactivephasethatcanspeedupdeliveryprogress,increasetheva
7、ginaldeliveryrate,anddecreasecesareansectionrate.Andwithoutanysideeffectinsecondstageoflabor,postpartumbloodingin2h,andtheApagarscore.[Keywords]PhloroglucinolCombineDiazepamProtractedactivephase在产程中，活跃期停滞的原因有头盆不称、宫缩乏力、宫缩不协调、宫颈水肿、宫颈痉挛、胎头位置异常等。对于无头盆不称的活跃期停滞，我院使用间苯三酚联合地西泮静脉推注，取得了显著的疗效。
8、现报导如下：1 资料与方法1.1 资料
