摘要
目的探讨间苯三酚配合徒手复位扩张宫颈法用于产程活跃期宫颈水肿的临床疗效及对预后的影响。方法选择医院收治的产妇60例,均在产程活跃期出现宫颈水肿,随机分为对照组和观察组,各30例。两组产妇均给予缩宫素配合徒手复位扩张宫颈法,对照组产妇宫颈水肿局部静脉注射利多卡因和阿托品,观察组产妇在宫颈水肿局部静脉注射间苯三酚。结果观察组产妇宫颈水肿治疗的总有效率为93.34%,明显高于对照组的80.00%(P<0.05);观察组产妇的宫口扩张速度明显快于对照组(P<0.05),用药至宫口全开时间、第一产程活跃期时间均明显短于对照组(P<0.05);观察组产妇经阴道分娩明显多于对照组,分娩2 h内出血量明显少于对照组,新生儿Apgar评分明显高于对照组,差异均有统计学意义(P<0.05);两组患者不良反应均较轻,及时处理后均痊愈,总发生率相当(P>0.05)。结论间苯三酚配合徒手复位扩张宫颈法治疗产程活跃期宫颈水肿,疗效显著,可提高宫颈扩张速度,加快产程,减少产妇在分娩过程中的出血量,提高产妇自娩率及新生儿Apgar评分,产后并发症少,不良反应小,值得临床推广。
Objective To discuss the effect of phloroglucinol cervical edema and the influence on the prognosis. Methods into control group and observation group, 30 cases in each cervical dilation method; control group was given intravenous combined with hand reset cervical dilation method in the active phase of 60 cases of maternal cervical active phase edema were randomly divided group. Two groups of patients were treated with oxytocin closed reduction lidocaine topical atropine on this basis; on the basis,observation group was given maternal cervical edema between local intravenous phloroglucinol. Results The total effective rate of maternal cervical edema in the observation group was 93.34% ,which was higher than 80.00% of the control group（ P 〈 0. 05）. Cervical dilation maternal in the observation group was faster than the control group, and the medication full time to the cervix and the first active phase time were shorter than the control group（P 〈 0. 05）;maternal vaginal delivery of the observation group was more than the control group,the hem- orrhage of childbirth in 2 h was less than the control group, and the neonatal apgar score was higher（ P 〈 0. 05）. Adverse reactions in the two groups were mild, and were cured after timely manner. The overall incidence rate had no statistically significant difference （P 〉 0. 05）. Conclusion Phloroglucinol combined with cervical dilatation in treating cervical edema in the active phase has significant effect,can significantly improve the cervical dilation, accelerate the progress of labor and reduce maternal bleeding during childbirth, im- prove maternal self-delivery rate and neonatal apgar score without increasing puerperal infection, has few adverse reactions and is wor- thy of clinical promotion.
出处
《中国药业》
CAS
2015年第20期46-47,共2页
China Pharmaceuticals
关键词
间苯三酚
徒手复位扩张宫颈法
宫颈水肿
产程活跃期
phloroglucinol
closed reduction cervical dilation method
cervical edema
active phase
