中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
11期
15-16
,共2页
间苯三酚%安定%活跃期停滞
間苯三酚%安定%活躍期停滯
간분삼분%안정%활약기정체
Phloroglucinol%Diazepam%Protracted active phase
目的 比较间苯三酚和安定用于处理活跃期停滞的有效性及安全性.方法 选取2013年10月至2014年4月南县中医院103例活跃期停滞产妇为研究对象,并随机分为两组:间苯三酚组静脉注射间苯三酚80 mg+氯化钠注射液10 ml;安定组静脉注射安定10 mg+氯化钠注射液10 ml,观察两组产妇活跃期时间、第二产程时间、分娩结局、分娩期并发症、新生儿Apgar评分、羊水性状等.结果 间苯三酚组52例活跃期时间为(191.32±22.86) min,剖宫产率为13.46％;安定组51例活跃期时间为(234.1±24.19) min,剖宫产率为21.57％,两组活跃期时间、剖宫产率比较差异有统计学意义(P＜0.05).安定组新生儿窒息发生率高于间苯三酚组,差异有统计学意义(P＜0.05),两组羊水性状、第二产程时间、产后2h出血量比较差异未见统计学意义(P＞0.05).结论 间苯三酚用于活跃期停滞时疗效明显,能促进产程进展,提高阴道分娩率,减少剖宫产率,对母婴无不良影响少,值得产科医生推广.
目的 比較間苯三酚和安定用于處理活躍期停滯的有效性及安全性.方法 選取2013年10月至2014年4月南縣中醫院103例活躍期停滯產婦為研究對象,併隨機分為兩組:間苯三酚組靜脈註射間苯三酚80 mg+氯化鈉註射液10 ml;安定組靜脈註射安定10 mg+氯化鈉註射液10 ml,觀察兩組產婦活躍期時間、第二產程時間、分娩結跼、分娩期併髮癥、新生兒Apgar評分、羊水性狀等.結果 間苯三酚組52例活躍期時間為(191.32±22.86) min,剖宮產率為13.46％;安定組51例活躍期時間為(234.1±24.19) min,剖宮產率為21.57％,兩組活躍期時間、剖宮產率比較差異有統計學意義(P＜0.05).安定組新生兒窒息髮生率高于間苯三酚組,差異有統計學意義(P＜0.05),兩組羊水性狀、第二產程時間、產後2h齣血量比較差異未見統計學意義(P＞0.05).結論 間苯三酚用于活躍期停滯時療效明顯,能促進產程進展,提高陰道分娩率,減少剖宮產率,對母嬰無不良影響少,值得產科醫生推廣.
목적 비교간분삼분화안정용우처리활약기정체적유효성급안전성.방법 선취2013년10월지2014년4월남현중의원103례활약기정체산부위연구대상,병수궤분위량조:간분삼분조정맥주사간분삼분80 mg+록화납주사액10 ml;안정조정맥주사안정10 mg+록화납주사액10 ml,관찰량조산부활약기시간、제이산정시간、분면결국、분면기병발증、신생인Apgar평분、양수성상등.결과 간분삼분조52례활약기시간위(191.32±22.86) min,부궁산솔위13.46％;안정조51례활약기시간위(234.1±24.19) min,부궁산솔위21.57％,량조활약기시간、부궁산솔비교차이유통계학의의(P＜0.05).안정조신생인질식발생솔고우간분삼분조,차이유통계학의의(P＜0.05),량조양수성상、제이산정시간、산후2h출혈량비교차이미견통계학의의(P＞0.05).결론 간분삼분용우활약기정체시료효명현,능촉진산정진전,제고음도분면솔,감소부궁산솔,대모영무불량영향소,치득산과의생추엄.
Objective To compare the effect and safety of phloroglucinol and diazepam on protracted active phase.Methods From October 2013 to April 2014,103 puerperae with protracted active phase treated in Nanxian hospital of traditional Chinese medicine were randomly divided into two groups:phloroglucinol group (phloroglucinol 80 mg + NS 10 ml,iv) and diazepam group (diazepam 10 mg + NS 10 ml,iv).The duration of active phase,duration of the second stage of labor,delivery outcome,delivery complications,neonatal Apgar score and the condition of amniotic fluid were observed.Results The average durations of active phase in phloroglucinol group and diazepam group were (191.32 ±22.86) min and (234.1 ±24.19) min,while the cesarean section rates were 13.46％ and 21.57％,and the differences were statistically significant (P ＜0.05).The neonatal asphyxia rate was higher in diazepam group than that in phloroglucinol group,there was significant difference(P ＜ 0.05).There was no significant difference in the character of amniotic fluid,the duration of the second stage of labor or volume of bleeding during two hours after labor.Conclusions Phloroglucinol has significant effect on protracted active phase.It can promote the progress of labor,so as to increase the vaginal delivery rate and decrease cesarean section rate,and has no harmful effect on maternal and infants,so is worthy popularizing by the obstetrician.
