CAJ | 학술논문

目的：探讨利多卡因联合阿托品治疗分娩时宫颈水肿的效果。方法将2010年5月至2013年4月在我院进行阴道试产时发生宫颈水肿的初产妇102例纳入实验组，采用利多卡因联合阿托品宫颈多点注射。以同期采用传统静脉注射地西泮治疗者100例作为对照组。对比两组在宫口全开时间、转剖宫产率、新生儿Apgar评分等方面的差异性。结果与对照组对比，我们发现实验组宫口全开时间较短，转剖宫产率较低，组间差异经统计学分析后认为有意义（P＜0.05）。对比两组新生儿Apgar评分发现，组间差异统计学分析后认为无意义（P＞0.05）。结论采用利多卡因联合阿托品治疗分娩时宫颈水肿具有满意的疗效，有助于缩短产程时间，增加阴道试产成功率，今后可将其作为阴道试产时宫颈水肿治疗的有效方案进行推广应用。
목적：탐토리다잡인연합아탁품치료분면시궁경수종적효과。방법장2010년5월지2013년4월재아원진행음도시산시발생궁경수종적초산부102례납입실험조，채용리다잡인연합아탁품궁경다점주사。이동기채용전통정맥주사지서반치료자100례작위대조조。대비량조재궁구전개시간、전부궁산솔、신생인Apgar평분등방면적차이성。결과여대조조대비，아문발현실험조궁구전개시간교단，전부궁산솔교저，조간차이경통계학분석후인위유의의（P＜0.05）。대비량조신생인Apgar평분발현，조간차이통계학분석후인위무의의（P＞0.05）。결론채용리다잡인연합아탁품치료분면시궁경수종구유만의적료효，유조우축단산정시간，증가음도시산성공솔，금후가장기작위음도시산시궁경수종치료적유효방안진행추엄응용。
Objective Investigate lidocaine and atropine in the treatment of intrapartum cervix edema effect. Methods Choose 102 cases as experimental group, using lidocaine and atropine cervical multi point injection. Choose 100 cases as control group, injection of diazepam. Compared two groups in the palace mouth open time, turn the cesarean section rate, neonatal Apgar score etc. Results Compared with control group, experimental group palace mouth open for a short time, turn the cesarean section rate is low, differences had significant(P<0.05). Compared Apgar score, differences had no significance(P>0.05). Conclusion Lidocaine and atropine in the treatment of intrapartum cervix edema has satisfactory curative effect, help to shorten labor time, increase the success rate of vaginal delivery, can be applied effectively for treatment of vaginal cervical edema in the future.