妊娠晚期盆底肌锻炼对脐动脉血气分析指标及新生儿窒息的影响  

Influence of pelvic floor muscle training in late pregnancy of umbilical artery blood gas analysis index and neonatal asphyxia

作　　者：洪雄新[1] 张斯汉[2] 李观强[1] 江白玲[3] 陈光玉[3] 

机构地区：[1]深圳市龙岗区人民医院检验科,广东深圳518172 [2]深圳市龙岗区人民医院肾内科,广东深圳518172 [3]深圳市龙岗区人民医院妇产科,广东深圳518172

出　　处：《中国医药科学》2016年第17期138-141,共4页China Medicine And Pharmacy

摘　　要：目的 评估妊娠晚期盆底肌功能锻炼对分娩和新生儿窒息的影响。方法 选择2013年5月~2015年8月在我院妇产科自然分娩的375例初产妇,随机入组实验组和对照组,实验组204例孕妇按照要求进行盆底肌锻炼直至临产前,而对照组171例孕妇则不进行该锻炼,两组孕妇均进行孕妇常规体检和保健,待分娩后抽取脐动脉血进行血气分析,并对新生儿进行Apgar评分。结果 实验组脐动脉血p H值、氧分压、二氧化碳分压分别为（7.15±0.09）、（28.8±0.22）mm Hg、（53±3.5）mm Hg,而对照组相应指标为（7.21±0.12）、（36.5±0.36）mm Hg、（48±2.8）mm Hg,差别有统计学意义（P〈0.05）,而Apgar评分在7分以下和8分以上新生儿比例、第二产程时间、产后出血量、发生新生儿窒息的比例也有统计学差异（P〈0.05）。结论 妊娠晚期孕妇规律盆底肌锻炼缩短第二产程的持续时间、减少新生儿缺氧、窒息的风险。Objective To assess the influence of pelvic floor muscle training in late pregnancy on labor on delivery and neonatal asphyxia. Methods 375 cases of unipara natural child birthing in obstetrics and Gynecology department of our hospital from May 2013 to August 2015 were randomly divided into experimental group and control group. 204 cases were divided into experimental group and treated with pelvic floor muscle training, and 171 were divided into control group and did not carry out the exercise. Routine physical examination and health care were equally guaranteed to both groups. Blood-gas analysis of umbilical arterial blood, and record the Apgar scores of the newborn children were dealt with. Results The pH-value, oxygen partial pressure and carbon dioxide partial pressure of umbilical artery blood of experimental group respectively were （7.15±0.09）, （28.8±0.22）mm Hg, （53±3.5）mm Hg, while the corresponding specifications of the control group were （7.21±0.12）, （36.5±0.36）mm Hg, （48±2.8）mm Hg. Differences spelt the statistical significance （P 〈 0.05）. In addition, some statistical differences were clearly demonstrated by the proportion of the newborn, whose Apgar scores were less than 7 or more than 8, the labor time of the second stage, the postpartum hemorrhage volume, the proportion of neonatal asphyxia cases. Conclusion For the pregnant women on the third trimester, regular pelvic floor muscle training contributes to shorten the labor time of the second stage as well as decline the risk of neonatal hypoxia and asphyxia.

关 键 词：盆底肌 脐动脉血 妊娠晚期 血气指标 新生儿窒息 

分 类 号：R714.5[医药卫生—妇产科学]