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间苯三酚联合地西泮对产程影响的临床观察
Effect of phloroglucinol combined with diazepam on course of labor
【摘要】 目的观察间苯三酚联合地西泮对产程进展的影响,探讨其对产程的临床疗效及其安全性。方法选择宫口开大3~4 cm后出现活跃期延缓及停滞的初产妇100例,随机分为观察组和对照组各50例,观察组给予间苯三酚联合地西泮处理,对照组单独给予间苯三酚处理。观察两组产妇的宫颈Bishop评分、用药后距出现规律宫缩时间、产程进展、分娩方式、新生儿Apgar评分、产后出血量。结果观察组活跃期即宫口开全时间明显短于对照组(P<0.05)且阴道分娩率明显高于对照组(P<0.05),两组宫颈Bishop评分、第二产程时间、胎儿窘迫、新生儿窒息及产后2 h出血量比较差异无统计学意义(P>0.05)。结论间苯三酚联合地西泮能明显改善宫颈条件,加速子宫颈口扩张,加速产程进展,治疗活跃期延缓、停滞效果显著,对母体和新生儿有较好的安全性无不良影响,且使用方便,为临床的理想选择。
【Abstract】 Objective To observe the effect of the phloroglucinol combined with diazepan in the childbirth process,and to explore the effect and safety.Methods Normal primipara with cervical of period of delay and stagnation expand 3-4cm and cervical edema 100 cases were selected,and were randomLy divided into two groups,the observation group and control group,and 50 cases in each group.the observation group was given phloroglucinol and diazepan in intravenous injection,while the control group was only given phloroglucinol treatment.Then to Observe the cervical ripening and abor induction maternal,he cervical Bishop score birth process,mode of delivery,Apgar score,postpartum bleeding of the two groups.Results Full-time active period of the observation group cervix was significantly shorter than the control group(P < 0.05) and vaginal delivery rate was significantly higher(P < 0.05),two groups of second stage of labor time,fetal distress neonatal asphyxia and postnatal 2 h the amount of bleeding was no significant difference(P > 0.05).Conclusion Phloroglucinol ally Diazepan in promoting expansion of the maternal cervix,allay cervical edema and speeding up progress in the childbirth process have a good effect,and without any significant side effects on mater and child.And it easy to use,it’s the ideal choice for clinical.
- 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2012年20期
- 【分类号】R714.3
- 【被引频次】8
- 【下载频次】35