产程活跃期应用斯帕丰联合地西泮对分娩的影响  

Influence of applying Spasfon in combination with diazepam for parturient in active phase of labor

作　　者：段春英[1] 陈殿红[1] 陈立[1] 

机构地区：[1]山东省聊城市第二人民医院

出　　处：《护理研究（上旬版）》2010年第1期30-32,共3页Chinese Nursing Researsh

摘　　要：[目的]观察产程活跃期应用斯帕丰联合地西泮对分娩的影响。[方法]选择正常初产妇规律宫缩愿意经阴道分娩者200例,随机分为两组,观察组在宫口开大3cm且宫缩规律者给予斯帕丰80mg宫颈封闭加地西泮10mg肌肉注射,对照组按常规处理。观察疼痛程度、产程、分娩方式、新生儿评分、产后2h出血量等。[结果]观察组镇痛效果明显优于对照组(P<0.01),产程明显缩短,以第一产程最为明显(P<0.05),剖宫产率明显低于对照组(P<0.05)。其他各项指标差异无统计学意义(P>0.05)。[结论]产程活跃期应用斯帕丰联合地西泮能明显缩短产程,减轻分娩疼痛,对产妇及新生儿无不良影响。Objective：To observe the impact of applying phloroglucinol in com- bination with diazepam in active phase of labor on childbirth of primipara. Methods： A total of 200 normal primipara with regular contractions and were willing to vaginal delivery were selected and randomly divided into two groups. Primipara of test group were given phloroglucinol 80 mg to block the cervix and add diazepam 10 mg intramuscular injection as the cervix opened 3cm and with regular contractions. Primipara of control group were given conventional treatment. Then the pain degree, birth process, delivery mode, neonatal Apgar score, and 2 hours post - partum bleeding of all primipara were observed. Results：Analgesic effect of primipara in test group was much better than that of control group （P〈0.01）. Birth process of primipara in test group was shortened significantly,particularly the first stage of labor（P〈0.05）. Cesarean section rate of primipara in test group was significantly lower than that of control group （P〈0.05）. There were no significant differences in terms of the other indexes between the two groups （P〉0.05）. Conclusion.Application of phloroglucinol in combination with diazepam during active phase of labor for primipara can significantly shorten their labor process and reduce their labor pain. And it has no adverse effects on both parturient and newborns.

关 键 词：分娩 活跃期 地西泮 斯帕丰 宫颈封闭 

分 类 号：R473.71[医药卫生—护理学]