人工破膜对比自然破裂联合自由体位分娩对产程及分娩结局的影响  

Analysis of the effects of artificial rupture of membrane and natural rupture combined with free postural delivery on the outcome of labor and childbirth

作　　者：谢英 李云[1] 任玉平[1] XIE Ying; LI Yun; REN Yu-ping(Mianyang No.404 Hospital of Sichuan, Mianyang, Sichuan 621000, China)

机构地区：[1]四川绵阳四○四医院,四川绵阳621000

出　　处：《热带医学杂志》2018年第10期1317-1321,共5页Journal of Tropical Medicine

摘　　要：目的探讨人工破膜对比自然破裂联合自由体位分娩对产程及分娩结局的影响。方法选取2016年7月至2017年7月入本院待产并且拟经阴道分娩的100例初产妇为研究对象,随机数字法分为研究组(50例)和对照组(50例),研究组孕妇采用人工破膜方法生产,对照组孕妇采用自然破膜方法生产,记录产程时间、分娩结局、羊水情况等。结果研究组孕妇剖宫产率22.0%,高于对照组孕妇的8.0%,差异有统计学意义(P<0.05);研究组孕妇剖宫产中头位异常、胎儿窘迫发生率高于对照组,差异有统计学意义(P<0.05);研究组孕妇生产的胎儿窒息发生率明显低于对照组,差异有统计学意义(P<0.05);研究组孕妇生产的胎儿产瘤发生率明显高于对照组,差异有统计学意义(P<0.05);研究组孕妇生产并发症尿潴留、宫颈水肿和产褥感染发生率均高于对照组,差异有统计学意义(P<0.05)。结论人工破膜降低了胎儿窒息发生率,但胎儿窘迫发生率、产瘤发生率及产后并发症高于对照组,临床要依据孕妇身体状况及胎儿发育情况合理的采用破膜方法。Objective To analyze the effect of artificial rupture of membrane in comparison with natural rupture and freepostural delivery on the outcome of labor and delivery. Methods 100 primiparas who entered the hospital from July 2016 toJuly 2017 and were scheduled to undergo vaginal delivery were selected as subjects,and divided into study group（50 cases）and control group（50 cases）by randomized digital method. Pregnant women in study group were using artificial ruptureof membrane production method,while those in control group were using spontaneous rupture of membrane. The time oflabor,the outcome of delivery,and the condition of amniotic fluid were recorded. Results The cesarean section rate ofthe pregnant women in the study group was 22.0%,which was significantly higher than that of the control group（8.0%）（P〈0.05）. The incidence of head abnormalities and fetal distress in the cesarean section of the study group was significantlyhigher than that of the control group（P〈0.05）. The incidence of fetal asphyxia in the study group was significantly lowerthan that in the control group（P〈0.05）. The incidence of fetal tumor production in the study group was significantly higherthan that in the control group（P〈0.05）. The incidence of complications,urinary retention,cervical edema and puerperalinfection in the study group were significantly higher than those in the control group（P〈0.05）. Conclusions The rate offetal asphyxia was reduced by artificial rupture of membrane,but the incidence of fetal distress,labor pain and postpartumcomplic ations were higher than the control group. The method of rupture of membrane should be used in clinic according tothe physical condition of pregnant women and the development of the fetus.

关 键 词：人工破膜 自然破裂 自由体位 产程 分娩结局 

分 类 号：R714[医药卫生—妇产科学]