新、旧产程标准对妊娠结局的临床对比研究  

A Comparative Study of Clinical Outcomes between the New and Old Labor Standards

作　　者：刘芳华 LIU Fang-hua(Dalian Lvshunkou District People's Hospital,Dalian 116041,China)

机构地区：[1]大连市旅顺口区人民医院,辽宁大连116041

出　　处：《中国医药指南》2020年第13期122-123,共2页Guide of China Medicine

摘　　要：目的探讨新产程时限标准在临床中的应用价值,比较新、旧产程标准管理下的初产妇的分娩方式及分娩结局的变化。方法选取本院于2018年1月~7月产科按新产程标准分娩的单胎活产、进行阴道试产共372名初产妇的临床资料。对照组为2017年1月~7月住院分娩按照旧产程时限标准观察的659例产妇,对比两组分娩方式、产程特性及母婴并发症发生率等。统计方法采用SPSS19.0系统进行正态性检验、t检验及卡方检验。结果观察组剖宫产率明显偏低(P<0.05)。观察组产程时限异常发生率相比对照组,均显著低于后者(P>0.05)。结论新产程时限标准更有利于分娩的管理,并能及时采取相应措施,使分娩更有效,降低剖宫产率。放松潜伏期时限和潜伏期终点可以减少不必要的干预。Objective To explore the clinical application value of the new labor duration standard and compare the changes of delivery mode and outcome of the new and old labor duration standard.Methods Clinical data of 372 first parturients in our hospital who gave birth to a single live birth and underwent vaginal trial-birth from January to July 2018 were selected.In the control group,659 parturients who were hospitalized for delivery from January to July 2017 were observed according to the old standard of duration of labor,and the modes of delivery,characteristics of labor and incidence of maternal and infant complications were compared between the two groups.SPSS19.0 system was used for normality test,t test and chi-square test.Results The rate of cesarean section in the observation group was significantly lower(P<0.05).The incidence of abnormal perinatal duration in the observation group was significantly lower than that in the control group(P>0.05).Conclusion The new standard of labor duration is more conducive to the management of labor,and the corresponding measures can be taken in time to make labor more effective and reduce the rate of cesarean section.Relaxation of the incubation period and the end of the incubation period can reduce unnecessary interventions.

关 键 词：新产程图 旧产程图 新产程时限 医疗干预 母儿结局 

分 类 号：R714.3[医药卫生—妇产科学]