摘要
目的探讨地西泮湿敷对活跃晚期宫颈水肿的临床疗效。方法选择2013年12月-2015年12月在该院分娩的发生活跃期(最大加速期)宫颈水肿的初产妇93例作为研究对象,电脑随机分为对照组43例和实验组50例,对照组给予地西泮20 mg肌注,实验组给予地西泮20 mg纱布宫颈湿敷。比较两组产妇处理后分娩结局、是否助产、产时出血量、产后24 h出血量、新生儿体重、新生儿1 min评分、新生儿5 min评分、新生儿转因呼吸问题转儿科率、产妇产时生殖道裂伤及血肿形成、产后会阴水肿及产后42 d检查有无阴道前壁膨出情况。结果宫颈湿敷组宫颈水肿消退情况及产程进展明显优于肌注组(χ^2=6.060,P=0.010),分娩结局优于对照组,实验组剖宫产5例、阴道助产1例,剖宫产率为10.00%,对照组剖宫产10例、阴道助产3例,剖宫产率为23.26%(χ^2=4.730,P=0.030),产时出血及产后2 h内阴道出血量、生殖道裂伤及血肿方面二者无差别;两组新生儿出生后1 min评分未达10分的比例、两组新生儿出生后5 min评分未达10分的比例以及新儿因呼吸问题儿科会诊率均差异有统计学意义(P<0.05),实验组优于对照组;两组产妇产后出血、产后会阴水肿及产后42 d阴道前壁膨出的比例无明显差别。结论对于产程中活跃期尤其是活跃晚期的宫颈水肿,地西泮纱布宫颈湿敷有很好的临床疗效,不影响新生儿评分,值得临床推荐。
Objective To explore the clinical effect of diazepam wet compress on active advanced cervical edema Methods A total of 93 primiparous women with cervical edema during the active period(maximum acceleration period)of childbirth in the hospital from December 1,2013 to December 31,2015 were selected as the research objects randomly divided into control group and experimental group with 50 cases each,the control group was given diazepam20 mg intramuscularly,and the experimental group was given diazepam 20 mg gauze and wet cervix.The two groups compared the outcomes of postpartum women’s delivery,whether they assisted delivery,the amount of bleeding during delivery,the amount of bleeding at 24 hours postpartum,the weight of the newborn,the 1 min score of the newborn,the5 min score of the newborn,the pediatric rate of neonates due to respiratory problems,parturient genital laceration and hematoma formation,postpartum perineal edema and postpartum anterior vaginal wall swelling were checked for postpartum.Results The regression of cervical edema and the progress of labor during the cervical wet pack group were significantly better than those of the intramuscular injection group(χ^2=6.060,P=0.010),and the delivery outcome was better than that of the control group.The experimental group had 5 cesarean sections and 1 vaginal birth.The uterine delivery rate was 10%.The control group had 10 cesarean sections and 3 vaginal births.The cesarean section rate was23.26%(χ^2=4.730,P=0.030).The amount of bleeding during delivery and the amount of vaginal bleeding within 2 h after delivery,there were no differences in genital tract lacerations and hematomas;the proportion of newborns who scored less than 10 points at 1 min after birth,the proportion of newborns who scored less than 10 points at 5 min after birth,and pediatrics for respiratory problems consultation rates in new children,the difference was statistically significant(P<0.05),and the experimental group was better than the control group;there was no significant difference in the proportion of postpartum hemorrhage,postpartum perineal edema,and anterior vaginal wall swelling at 42 d postpartum.Conclusion For the cervical edema in the active stage,especially in the late stage of the labor,diazepam gauze wet cervix has a good clinical effect,does not affect the neonatal score,and is worthy of clinical recommendation.
作者
陈礼梅
张丽
CHEN Li-mei;ZHANG Li(Department of Gynecology,Gaochun People's Hospital,Gaochun District,Nanjing,Jiangsu Province,211300 China)
出处
《系统医学》
2020年第4期100-103,共4页
Systems Medicine
关键词
地西泮
活跃期
宫颈水肿
Diazepam
Active phase
Cervical edema
