CAJ | 학술논문

目的观察地西泮联合间苯三酚在分娩中对产程的影响.方法选择正常初产妇规律宫缩愿意经阴道分娩者200例,随机分为两组,每组各100例.观察组在宫口开大3 cm宫缩规律时给予间苯三酚80 mg宫颈注射,加地西泮10mg肌肉注射,对照组不予干预.同时观察两组的产程、分娩方式、新生儿Apgar评分及产后2 h阴道流血量等情况.结果观察组疼痛程度Ⅰ、Ⅱ、Ⅲ级分别为82、16、2例,对照组分别为30、58、12例,两组比较差异有统计学意义(P＜0.01);观察组总产程和第一产程均较对照组明显缩短(P＜0.05),顺产率明显高于对照组(P＜0.05).阴道流血量、新生儿Apgar评分及新生儿出生体重等比较差异均无统计学意义(P＞0.05).结论地西泮联合间苯三酚能明显缩短产程,减轻分娩疼痛,对产妇及新生儿无不良影响,值得推广使用.
목적 관찰지서반연합간분삼분재분면중대산정적영향.방법 선택정상초산부규률궁축원의경음도분면자200례,수궤분위량조,매조각100례.관찰조재궁구개대3 cm궁축규률시급여간분삼분80 mg궁경주사,가지서반10mg기육주사,대조조불여간예.동시관찰량조적산정、분면방식、신생인Apgar평분급산후2 h음도류혈량등정황.결과 관찰조동통정도Ⅰ、Ⅱ、Ⅲ급분별위82、16、2례,대조조분별위30、58、12례,량조비교차이유통계학의의(P＜0.01);관찰조총산정화제일산정균교대조조명현축단(P＜0.05),순산솔명현고우대조조(P＜0.05).음도류혈량、신생인Apgar평분급신생인출생체중등비교차이균무통계학의의(P＞0.05).결론 지서반연합간분삼분능명현축단산정,감경분면동통,대산부급신생인무불량영향,치득추엄사용.
Objective To observe the effects of phloroglucinol and diazepam on the progression of labor.Methods Two hundred normal primipara without indication of cesarean were randomly divided into intervention group and control group.When the cervix dilated 3 cm,the intervention group was given 80 mg phioroglueinol by injection of the cervix and 10 mg diazepam by injection of muscle,the control group was not given any drug.The length of labor stage,the different ways of labor,scores of neonate,volume of bleeding during 2 hours after labor of the two groups were observed.Results The pain degree of Ⅰ,Ⅱ,Ⅲ grade was 82,16,2 cases in intervention group,but 30,58,12 cases in control group,there was significant difference between the two groups(P＜0.01).The length of total labor stage and the first labor stage in intervention group were significant lower than those in control group(P＜0.05).the rate of spontaneous delivery in intervention group was higher than that in control group(P＜0.05),the others had no significant difference between the two groups(P＞0.05).Conclusions Phloroglueinol and diazepam can decurtate the length of labor stage and lessen pain and have no effects on both mother and newborn.It is worthwhile to spread the drugsin clinical practice.