经会阴超声监测产程的临床价值研究  

Clinical value of transperineal ultrasound monitoring of labor process

作　　者：黄嘉莉 黄美嫦 游文慧 郭伟娣 HUANG Jia-li;HUANG Meichang;YOU Wen-hui(Nanhai District Seventh People's Hospital,Foshan 528247,China)

机构地区：[1]佛山市南海区第七人民医院,528247

出　　处：《中国实用医药》2022年第26期93-95,共3页China Practical Medicine

基　　金：佛山市卫生健康局医学科研(项目编号:20200032),项目名称:经会阴超声在产程监测的临床价值研究。

摘　　要：目的观察经会阴超声监测产程的临床价值。方法100例初产妇,随机分为对照组和观察组,各50例。对照组进行常规产程监测,观察组进行经会阴超声产程监测。比较两组产妇活跃期时间、第二产程时间、产后出血量及阴道分娩率、剖宫产率、器械助产率、产后感染率、新生儿窒息率。结果观察组产妇活跃期时间(3.47±0.26)h、第二产程时间(65.08±15.44)min均短于对照组的(3.88±0.32)h、(73.11±12.75)min,产后出血量(242.38±67.86)ml少于对照组的(286.85±94.41)ml,差异具有统计学意义(P<0.05)。观察组产妇阴道分娩率90.00%高于对照组的64.00%,剖宫产率10.00%低于对照组的30.00%,差异具有统计学意义(P<0.05);观察组产妇器械助产率、产后感染率及新生儿窒息率均稍低于对照组,但差异无统计学意义(P>0.05)。结论经会阴超声监测产程能够相对客观、简便、准确地评估产程进展,对产程异常情况做到早预测、早发现、早干预,从而降低剖宫产率,保障母婴健康,值得在临床上进一步推广。Objective To observe the clinical value of transperineal ultrasound monitoring of labor process.Methods A total of 100 cases of primiparous women were randomly divided into a control group and an observation group,with 50 cases in each group.The control group underwent conventional monitoring of labor process,and the observation group underwent transperineal ultrasound monitoring of labor process.Both groups were compared in terms of active time period,time of second stage of labor,amount of postpartum hemorrhage,vaginal delivery rate,cesarean section rate,rate of instrument-assisted labor,postpartum infection rate,and neonatal asphyxia rate.Results The observation group had active time period of(3.47±0.26)h,time of second stage of labor of(65.08±15.44)min,which were shorter than(3.88±0.32)h and(73.11±12.75)min in the control group;the amount of postpartum hemorrhage in the observation group was(242.38±67.86)ml,which was less than(286.85±94.41)ml in the control group;the differences were all statistically significant(P<0.05).The vaginal delivery rate in the observation group was 90.00%,which was higher than 64.00% in the control group,and the cesarean section rate in the observation group was 10.00%,which was lower than 30.00% in the control group.The differences were statistically significant(P<0.05).The rate of instrument-assisted labor,postpartum infection rate and neonatal asphyxia rate in the observation group were slightly lower than those in the control group,but the difference was not statistically significant(P>0.05).Conclusion Transperineal ultrasound monitoring can evaluate the labor progress relatively objectively,easily and accurately,and achieve early prediction,early detection and early intervention of labor abnormalities,thus reducing cesarean section rate and protecting maternal and infant health,which is worthy of further promotion in clinical practice.

关 键 词：经会阴超声 产程监测 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714[医药卫生—诊断学]