初产妇头位难产诊断中新旧产程图的应用  

Applications of new and old partogram in diagnosis of primipara cephalic dystocia

作　　者：李雪玲[1] 

机构地区：[1]河南省漯河市第三人民医院妇产科,462000

出　　处：《中国实用医刊》2016年第23期76-78,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨初产妇头位难产诊断中新旧产程图的应用。 方法选取2013年9月至2015年8月头位难产初产妇212例，根据产程图分为新标组112例和旧标组100例。比较两组产程时间、产科干预措施、并发症及分娩方式。 结果新标组第一产程潜伏期长于旧标组，但第一产程的活跃期及第二产程短于旧标组，差异均有统计学意义（P〈0.05）。并发症中产程延长所占比例（18.8%）新标组小于旧标组（31.0%），差异有统计学意义（χ2＝4.28，P〈0.05）。 结论采用新产程图处理头位难产初产妇能降低剖宫产率、减少产科干预措施，有助于对初产妇头位难产做出及早的诊断。Objective To investigate the applications of new and old partogram in diagnosis of primipara cephalic dystocia. Methods From September 2013 to August 2015, 212 cases of cephalic pr- esentating dystocia primipara were selected, and were divided into new standard group （112 cases） and old standard group （100 cases）. Labor time, obstetric interventions, complications and delivery methods in the two groups were compared. Methods The first stages of the incubation period in the new standard group was longer than that in the old standard group, but the first stages of the active period and the second labor stage were shorter than those in the old standard group, the differences were significant （P 〈 0. 05 ）. Proportion of complications in the prolonged labor （ 18. 8% ） of the new standard group was less than that in the old standard group （31.0%）, the difference was significant （P 〈 0. 05）. Conlusions The new labor curve may decrease the cesarean delivery rate and other intervening measures in delivery. And the new labor curve is much more useful in the early diagnosis of cephalic presentating dystocia in primipara.

关 键 词：头位难产 初产妇 产程图 

分 类 号：R714.4[医药卫生—妇产科学]