CAJ | 학술논문

目的：观察产程中盐酸消旋山莨菪碱的应用效果。方法将512例无阴道分娩禁忌症的初产妇随机分为 A组和B组，各256例。在产程中A组给予盐酸消旋山莨菪碱10mg静脉缓慢注射，B组给予2%利多卡因宫颈水肿部位注射封闭或多点封闭。比较两组宫口开全所需时间、分娩方式、宫颈裂伤、产后出血、新生儿窒息率。结果 A组用时短，剖宫产率、宫颈裂伤、产后出血及新生儿窒息率明均显低于B组。结论产程活跃期发生宫颈水肿应用盐酸消旋山莨菪碱可明显缩短活跃期，降低剖宫产率、减少并发症的发生。
목적：관찰산정중염산소선산랑탕감적응용효과。방법장512례무음도분면금기증적초산부수궤분위 A조화B조，각256례。재산정중A조급여염산소선산랑탕감10mg정맥완만주사，B조급여2%리다잡인궁경수종부위주사봉폐혹다점봉폐。비교량조궁구개전소수시간、분면방식、궁경렬상、산후출혈、신생인질식솔。결과 A조용시단，부궁산솔、궁경렬상、산후출혈급신생인질식솔명균현저우B조。결론산정활약기발생궁경수종응용염산소선산랑탕감가명현축단활약기，강저부궁산솔、감소병발증적발생。
Objective To observe application ef ect of hydrochloric Raceanisodamide during childbirth. Methods:There are 512 cases of vaginal delivery without contraindications,which divided into A and B groups,each of 256 cases. During childbirth,primiparas of A group were injected slowly in the vein hydrochloride raceanisodamine 10mg,B group was injected 2% lidocaine in single point or multi-point of cervical edema.There are cervix time required, mode of childbirth, cervical laceration,postpartum hemorrhage,neonatal asphyxia and other projects to be compared. Results:A group with a short time,the cesarean section rate,cervical laceration rate,postpartum hemorrhage rate and neonatal asphyxia rate were significantly lower than group B. Conclusion:the active phase of cervical edema application hydrochloric Raceanisodamide can significantly shorten the active period,reduce the cesarean section rate,reduce the incidence of complications.