早期人工破膜后联合无痛分娩对初产妇产程和母婴结局的影响  

Effect of Early Artificial Rupture Combined with Painless Delivery on Primipara Maternal Labor and Maternal and Infant Outcomes

作　　者：孙启祥 王丽雯 单锦妹 SUN Qixiang;WANG Liwen;SHAN Jinmei(The Affiliated Yancheng Hospital of Southeast University Medical College,Yancheng 224005,China)

机构地区：[1]东南大学医学院附属盐城医院

出　　处：《中外医学研究》2020年第4期120-121,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨对初产妇实施早期人口破膜联合无痛分娩对产妇产程、母婴结的影响。方法:选取笔者所在医院2015年1月-2019年1月收治的60例初产妇为研究对象,随机分成观察组与对照组,各30例。对照组予以常规助产士分娩及早期人工破膜干预,而观察组则实施早期人工破膜联合无痛分娩干预,观察两组产妇产程及母婴结局情况。结果:观察组第一、二、三产程时间均短于对照组,差异均有统计学意义(P<0.05);观察组剖宫产率、产后出血率及新生儿窒息分别为10.00%、3.33%、0,对照组分别为33.33%、20.00%、13.33%,组间比较差异均有统计学意义(P<0.05)。结论:针对临床的初产妇,实施早期人工破膜联合无痛分娩的干预方式,可以缩短产妇产程时间,改善母婴结局,值得推广。Objective:To investigate the effect of early-stage rupture of membrane and euthanasia on maternal labor and maternal-fetal knots in primipara.Method:Sixty primiparas from January 2015 to January 2019 in our hospital were selected as subjects.They were randomly divided into observation group and control group,30 cases in each group.The control group was given conventional midwife delivery and early artificial membrane rupture intervention.In the observation group,early artificial rupture of membrane combined with painless labor intervention was performed.Observe the maternal labor and maternal and child outcomes.Result:The observation group was shorter than the control group in the first,second and third stage of labor,the differences were statistically significant(P<0.05).The incidence of cesarean section,postpartum hemorrhage and neonatal asphyxia in the observation group were 10.00,3.33%and 0,respectively.The indexes in the control group were 33.33%,20.00%,and 13.33%,respectively.The differences between the groups were statistically significant(P<0.05).Conclusion:For clinical primiparas,the implementation of early artificial rupture combined with painless delivery can shorten the maternal labor time and improve maternal and child outcomes,which is worth promoting.

关 键 词：早期人工破膜 无痛分娩 初产妇 产程时间 母婴结局 

分 类 号：R473.71[医药卫生—护理学]