CAJ | 학술논문

目的：观察原发性宫缩乏力产妇的临床表现，准确识别子宫收缩乏力，采取适当的有效措施，减少母婴不良结果，安全分娩。方法选取广东省佛山市南海区桂城医院自2012年1月～2012年4月收治的68例在产程中原发性宫缩乏力产妇的临床资料进行回顾性分析。结果不同类型的原发性宫缩乏力有不同的处理措施，正确识别，采取适当的措施有助于取得良好的妊娠结果。结论产程正常的原发性低张性宫缩乏力，不需干扰；产程异常的原发性低张性宫缩乏力，给予积极的人工破膜处理是有效的处理措施；高张性宫缩乏力，高度警惕难产的可能性，极积干预能减少母婴并发症的发生。
목적：관찰원발성궁축핍력산부적림상표현，준학식별자궁수축핍력，채취괄당적유효조시，감소모영불량결과，안전분면。방법선취광동성불산시남해구계성의원자2012년1월～2012년4월수치적68례재산정중원발성궁축핍력산부적림상자료진행회고성분석。결과불동류형적원발성궁축핍력유불동적처리조시，정학식별，채취괄당적조시유조우취득량호적임신결과。결론산정정상적원발성저장성궁축핍력，불수간우；산정이상적원발성저장성궁축핍력，급여적겁적인공파막처리시유효적처리조시；고장성궁축핍력，고도경척난산적가능성，겁적간예능감소모영병발증적발생。
Objective Clinical manifestations of primary uterine inertia in the puerpera are observed to distinguished uterine inertia accurately. All appropriate measures should be taken to deliver safely and reduce adverse outcomes of Infant-mothers. Methods A retrospective analysis was conducted on clinical data of 68 cases of primary uterine inertia during the birth process. Results Different steps should be taken to deal with different types of primary uterine inertia. Appropriate identiifcations and measures can improved pregnancy outcomes. Conclusion No interference is needed during the hypotonic uterine inertia of normal birth prcess;positive artiifcial rupture of membranes can be helpful in the abnormal stage of labor;full alert should be kept in the dififcult delivery for hypertonic uterine inertia and the complications of the babies and the mothers can be reduced by active intervention.