笑气吸入联合宫颈封闭治疗产程中宫颈水肿的疗效分析  

Analysis of Therapeutic Effect of Nitrous Oxide Inhalation and Cervical Block during Labor in the Treatment of Cervical Edema

作　　者：黄海燕[1] 

机构地区：[1]广西壮族自治区人民医院产科,南宁530021

出　　处：《医学综述》2013年第10期1885-1886,共2页Medical Recapitulate

基　　金：广西壮族自治区卫生厅自筹经费科研课题(Z2012290)

摘　　要：目的探讨笑气吸入联合宫颈封闭治疗产程中宫颈水肿的疗效和安全性。方法将108例产程中发生宫颈水肿的产妇随机分为研究组(54例)和对照组(54例)。研究组给予笑气吸入联合宫颈水肿部位多点封闭治疗,对照组常规于宫颈水肿部位多点封闭治疗。观察两组产妇总产程的时间、分娩方式、宫颈裂伤、镇痛效果、产后出血及新生儿窒息等情况。结果研究组的产妇总产程时间较对照组短(P<0.01),阴道分娩率高于对照组(77.8%vs 50.0%,P<0.01),宫颈裂伤发生率低于对照组(20.4%vs 44.4%,P<0.05),产妇镇痛效果优于对照组(P<0.01);两组产妇的产后出血率及新生儿窒息率比较差异均无统计学意义(P>0.05)。结论笑气吸入联合宫颈封闭对消除产程中宫颈水肿疗效确切、方法简单、无明显不良反应,值得推广。Objective To study the safety and efficacy of inhaling laughing gas combining with cervix blockade on cervix edema during the labor.Methods One hundred and eight cases with cervix edema during the labor were randomly divided into two groups,54 cases as study group,54 cases as control group,the study group were treated with inhaling of laughing gas combined with cervix blockade,the control group were treated with cervix blockade.the total labor time,delivery mode,cervical laceration,analgesia effect,postpartum hemorrhage and neonatal asphyxia were observed in both groups.Results The total labor time of the study group was shorter than the control group（P 0.01）.The rate of vaginal delivery of the study group was higher than the control group（77.8% vs 50.0%,P 0.01）.The rate of cervical laceration of the study group was lower than the control group（20.4% vs 44.4%,P 0.05）.The efficiency of relieving labor pain in the study group was much better than the control group（P 0.01）,The postpartum hemorrhage and neonatal asphyxia of the two groups had no statistically significant difference（P 0.05）.Conclusion It is an effective and simple method of inhaling laughing gas combined with cervix blockade to eliminate cervix edema with no obvious adverse effects,which is worth of popularization.

关 键 词：笑气吸入 宫颈封闭 分娩方式 

分 类 号：R714.4[医药卫生—妇产科学]