CAJ | 학술논문

目的：探讨初产妇无痛分娩常规缩宫素的应用对母婴的影响。方法选取我院初产妇80例作为研究对象，随机分为对照组与治疗组，各40例。其中对照组采取无痛分娩处理，而治疗组采取无痛分娩+缩宫素静脉点滴处理，对比分析两组处理方式对母婴的影响效果，评价指标包括总产程时间、出血量、有效镇痛率、疼痛评分、剖宫产率、助产率、并发症、新生儿Apgar评分等。结果治疗组初产妇总产程时间、出血量、疼痛评分、剖宫产率、并发症发生率、助产率皆明显低于对照组，组间对比差异有统计学意义（P＜0.05）；治疗组新生儿Apgar评分皆明显高于对照组，组间对比差异有统计学意义（P＜0.05）。结论初产妇无痛分娩常规缩宫素应用可以改善母婴结局，能明显加速产程，减少出血量、器械助产率、母体疲劳、剖宫产率及并发症发生率等，同时新生儿Apgar评分更高，值得借鉴。
목적：탐토초산부무통분면상규축궁소적응용대모영적영향。방법선취아원초산부80례작위연구대상，수궤분위대조조여치료조，각40례。기중대조조채취무통분면처리，이치료조채취무통분면+축궁소정맥점적처리，대비분석량조처리방식대모영적영향효과，평개지표포괄총산정시간、출혈량、유효진통솔、동통평분、부궁산솔、조산솔、병발증、신생인Apgar평분등。결과치료조초산부총산정시간、출혈량、동통평분、부궁산솔、병발증발생솔、조산솔개명현저우대조조，조간대비차이유통계학의의（P＜0.05）；치료조신생인Apgar평분개명현고우대조조，조간대비차이유통계학의의（P＜0.05）。결론초산부무통분면상규축궁소응용가이개선모영결국，능명현가속산정，감소출혈량、기계조산솔、모체피로、부궁산솔급병발증발생솔등，동시신생인Apgar평분경고，치득차감。
Objective To explore the effect of conventional oxytocin applied in painless labour of primiparas on mothers and infants. Methods 80 primiparas in our hospital were selected as subjects, and randomly assigned to a control group and a treatment group, with 40 in each. The control group received painless labour, and the treatment group received painless labour plus intravenous drip of oxytocin. The effects of the two different methods on mothers and infants were compared and analyzed. Indices used for evaluation included total stage of labour, amount of bleeding, effective rate of analgesia , pain scores, rate of caesarean section, rate of aids to delivery, complications and Apgar scores. Results The total stage of labour, amount of bleeding, pain scores, rate of caesarean section, incidence of complications and rate of aids to delivery in the treatment group of primiparas were all significantly shorter or lower than those in the control group, and the differences between groups were statistically significant (P<0.05); Apgar scores in the treatment group were all significantly higher than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion The oxytocin applied in painless labour of primiparas improves the outcome of mothers and infants. The method significantly accelerates the total stage of labour, increases Apgar scores and reduces the amount of bleeding, rate of aids to delivery by apparatus, maternal fatigue, rate of caesarean section and incidence of complications, which is worthy of learning and application.