【摘要】 目的 :研究产程干预手段 -人工破膜及剥膜对产程的影响。方法 :回顾性分析人工破膜及剥膜对分娩的影响。随机选取 3 68名产妇 ,将其分为人工破膜组及剥膜组即观察组 ,未采用人工破膜及剥膜组即对照组 ,观察两组产妇分娩方式、产程时间、新生儿窒息率、产后出血率。结果 :人工破膜组即观察组难产率较对照组高 ,差异有显著性 (P<0 .0 0 1) ,且两组产妇剖宫产指征明显不同 ,人工破膜组总产程、第一产程、第二产程明显短于对照组 ,且差异有显著性 (P <0 .0 0 1)。人工破膜组新生儿窒息率低于对照组 ,差异有显著性 (P <0 .0 5 )。产后出血率差异无显著性 (P >0 0 5 )。结论 :人工破膜及剥膜可明显缩短产程 ,虽难产率高但新生儿窒息率低 ,是值得推广的产程干预手段更多还原

【Abstract】 Objective:To discuss the effect of methods includes artificial rupture of fetal membranes and strip membranes which intervene the labor course.Methods:To study the effects on the labor course with the artificial rupture of fetal membranes and strip membranes. We collected 386 cases of puerpera, divided them into study group and control group, and analysed the labor pattern,labor course, neonatal asphxia rate and postpartum hemorrhage rate retrospectively.Results:The increaes of dystocia rate associated with the study group was significantly higher than that of the control group (P<0.001) and the cesarean section indication was different between the two groups. There was very significant difference between the two groups in the total stage of labor, the first stage of labor, the second stage of labor(P<0.001),and there was significant difference in the neonatal asphxia (P<0.05).But there was no significant difference in the postpartum hemorrhage (P>0 05).Conclusions:Artificial rupture of fetal membranes and strip membranes can shorten the labor course, decrease the neonatal asphxia but it can’s decrease the rate of cesarean section. It was a good mean to intervent the labor course.更多还原