42例产妇宫颈水肿的治疗体会  

作　　者：夏建丽[1] 龙雁[1] 

机构地区：[1]广东省东莞市长安医院,广东东莞523843

出　　处：《中外医疗》2010年第12期51-52,共2页China & Foreign Medical Treatment

摘　　要：目的观察利多卡因+阿托品对产妇分娩时宫颈水肿的治疗作用。方法回顾性分析2007年以来用利多卡因+阿托品治疗的42例产妇宫颈水肿的病例,并与同期发生宫颈水肿产前未经任何处理的产妇做对比。结果治疗组无一例需进行剖宫产,对照组有12例(40.0%)因滞产而行剖宫产,2组比较有统计学差异(P=0.00732,P<0.01)。治疗组宫口全开时间较对照组短(P=0.02183,P<0.05);治疗组产妇VAS疼痛评分更低(P=0.00465,P<0.01);治疗组分娩出血量更小(P=0.00687,P<0.01);治疗组新生儿无一例窒息,Apgar评分均在4分以上例数多于对照组例数(P=0.00891,P<0.01)。结论应用利多卡因+阿托品多点注射治疗宫颈水肿可取得良好疗效,帮助产程顺利进行,值得临床推广。Objective An Observation on the Curative Effect of Cervix Edema during Labor by using Lidocaine and Atropine. Methods Retrospective Analysis Since 2007,a contrast has been made among lying-in women of the same period with cervix edema during labor.42 cases of them were treated by lidocaine and atropine,while the remaining was in a regular labor process. Results None of the treatment group needs caesarean section,while 12 cases（40.0%） in the control group must have caesarean section due to difficult labor.There were significant differences between the two groups（P =0.00732,P〈0.01） .Through observation and analysis,treatment group is better than control group in full dilatation of cervix（P =0.02183,P〈0.05） ,VAS pain grade（P =0.00465,P〈0.01） and amount of bleeding（P =0.00687,P〈0.01） .There was no newborn asphyxia and there are more cases for Apgar over 4 scores in treatment group than control group（P =0.00891,P〈0.01） .Conclusion It is an effective method to treat cervix edema by multidrop injection with lidocaine and atropine during labor and is benefit for a smooth birth process. This method can be applied in clinical treatment and widely promoted.

关 键 词：宫颈水肿 利多卡因加阿托品 

分 类 号：R711[医药卫生—妇产科学]