气囊助产配合缩宫素在阴道分娩中的临床应用  

Clinical application of gasbag midwifery coordinated by oxytocin in vaginal delivery

作　　者：汤桂英 蒋燕[1] 

机构地区：[1]绵阳市人民医院,四川绵阳621000

出　　处：《现代医药卫生》2012年第15期2254-2255,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨气囊助产配合缩宫素用于阴道分娩的临床疗效。方法选择2010年10月至2011年12月该院经阴道分娩的初产妇1 478例,随机分为气囊配合缩宫素组(观察组)739例,单纯气囊组(对照组)739例,观察两组产妇的产程、分娩方式、宫颈裂伤、产后2 h出血量及新生儿Apgar评分等情况。结果观察组第一、二产程与总产程时间,阴道分娩率,剖宫产率,新生儿Apgar评分均优于对照组,差异有统计学意义(P<0.05);但两组在宫颈裂伤率、难产率、产后大出血等方面比较,差异无统计学意义(P>0.05)。结论气囊助产术可缩短产程,增加阴道分娩率,降低剖宫产率和新生儿窒息率,减少产妇痛苦,配合使用缩宫素效果更佳,安全、有效,具有广泛的应用前景。Objective To evaluate the clinical effects of gasbag midwifery coordinated by oxytocin in vaginal delivery. Methods 1 478 primiparas with viginal delivery in our hospital from October 2010 to December 201 lwere selected and divided into two groups randomly. The observation group （739 cases） received gasbag midwifery coordinated by oxytocin and the control group（739 cases） received only gasbag midwifery. The total stage of labor,delivery mode,cervical laceration,postpartum 2h blood Joss and Apgar scores of newborn were observed in the two groups. Results The abservation group was better than the control group in the total stage of labor, viginal delivery rate, cesarean section rate and Apgar scores of newborn, showing statistical differ- ence between the two groups （P〈0.05）. There was no statistical differences in the aspects of the cervical laceration rate, dystocia rate and postpartum hemorrhage between the two groups （P〉0.05）. Conclusion Gasbag midwifery can shorten the stage of la- bor, increase the viginal delivery rate, reduce the cesarean section rate and the neonatal asphyxia rate, and lessen the parturient＇s pain, the coordination use with oxytocin has better effects, safty and the broad application prospects.

关 键 词：自然分娩 会阴 气囊 助产学 催产素 治疗结果 气囊助产 

分 类 号：R714.3[医药卫生—妇产科学]