以新产程标准为指导的产程处理对初产妇母婴结局的影响  

The effects of the production process guided by new production standard on primipara and mother-infant ending

作　　者：黄鹂鹂 黎文敏 HUANG Li-li, LI Wen-min(Department of Obstetrics,Maternal and Child Health Care Hospital of Jiangmen City,Guangdong Province,Jiangmen 529300,Chin)

机构地区：[1]广东省江门市妇幼保健院产科,广东江门529300

出　　处：《中国当代医药》2018年第7期124-126,共3页China Modern Medicine

摘　　要：目的探讨以新产程标准为指导的产程处理对初产妇母婴结局的影响。方法选取2015年6月~2016年6月我院收治的初产妇500例,依据随机数字表法分为新标组和旧标组,每组250例。旧标组患者给予旧产程标准为指导的产程处理,新标组给予新产程标准为指导的产程处理,比较两组产程、母婴结局等情况。结果新标组产妇第一、第二、总产程时间明显高于旧标组,差异有统计学意义(P<0.05);新标组产妇剖宫产率、产后出血率、产后发热率明显低于旧标组,差异有统计学意义(P<0.05),两组新生儿窒息率、新生儿入NICU率基本相同,差异无统计学意义(P>0.05)。结论与旧产程标准比较,以新产程标准为指导的产程处理可有效提高初产妇产程质量,有利于改善初产妇结局,不增加不良新生儿结局发生的风险,值得临床进一步推广。Objective To discuss the effects of the production process guided by new production standard on primipara and Mother-infant ending.Methods Five hundred patients with primiparar were selected from June 2015 and June 2016 in our hospital,according to the random number table methods,all patients were divided into new standard group （250 cases）and old standard group（250 cases）,old standard group was treated with the production process guided by old production standard,new standard group was treated with the production process guided by new production standard, compare two groups of deal with production,mother-infant ending.Results The first,second,and total production time of the new standard group was significantly higher than that of the old standard group,the differences were statistically significant （P〈0.05）.The rate of cesarean section,postpartum hemorrhage and postpartum fever of the new standard group were significantly lower than that of the old group,the differences were statistically significant （P〈0.05）.Neonatal asphyxiation rate and neonatal NICU rate of the new standard group and old standard group were basically the same,the differences were no statistically significant （P〉0.05）.Conclusion Compared with the old production standard, the process of production process guided by new production standard can effectively improve the quality of birth process,and improve the outcome of primary mothers,does not increase the risk of adverse neonatal outcomes,it＇s worth for further clinical promotion.

关 键 词：新产程标准 产程处理 初产妇 母婴结局 

分 类 号：R714[医药卫生—妇产科学]