第一产程应用间苯三酚联合缩宫素静脉给药对产妇产程及分娩结局的影响  

Effects of phloroglucinol combined with oxytocin intravenous administration in the first stage of labor on parturient's labor process and delivery outcomes

作　　者：庞雄燕 徐燕 Pang Xiongyan;Xu Yan(Department of Obstetrics and Gynecology,The Third People's Hospital of Zhangjiagang City,Suzhou 21561l,China)

机构地区：[1]张家港市第三人民医院妇产科,江苏苏州215611

出　　处：《实用妇科内分泌电子杂志》2023年第4期90-92,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨第一产程应用间苯三酚联合缩宫素静脉给药对产妇产程及分娩结局的影响。方法选取84名待产产妇,按照双色球法随机分为两组,蓝色球42名作为对照组,接受缩宫素静脉滴注引产;红色球42名作为研究组,在静脉滴注缩宫素基础上联合应用间苯三酚静脉推注。比较两组产妇产程时间、分娩结局及分娩并发症发生情况。结果研究组第一产程潜伏期、活跃期时间[(385.49±18.43)min、(124.28±17.55)min]均短于对照组[(448.22±32.54)min、(168.24±28.53)min],差异有统计学意义(P<0.05);两组第二、三产程时间比较,差异无统计学意义(P>0.05)。研究组阴道分娩率、引产成功率及Bishop宫颈成熟度评分[90.5%、61.9%、(6.75±1.12)分]均高于对照组[57.1%、35.7%、(4.35±0.68)分],差异有统计学意义(P<0.05);两组产后出血量、新生儿Apgar评分比较,差异无统计学意义(P>0.05)。研究组分娩并发症发生率(2.4%)低于对照组(14.3%),差异有统计学意义(P<0.05)。结论第一产程应用间苯三酚联合缩宫素静脉给药可促进产妇宫颈成熟,缩短第一产程时间,提高阴道分娩率与引产成功率,降低分娩并发症发生风险。Objective To investigate the effects of phloroglucinol combined with oxytocin intravenous administration in the first stage of labor on the parturient's labor process and delivery outcomes.Methods 84 expectant parturients were randomly divided into two groups according to the two-color ball method.42 cases with blue balls were treated as control group and received intravenous drip oxytocin to induce labor.42 cases with red balls were treated as the study group with intravenous drip of oxytocin combined with intravenous infusion of phloroglucinol.The time of labor,outcomes of labor and complications of labor were compared between the two groups.Results The incubation period and active period of the first stage of labor in the study group[(385.49±18.43)min,(124.28±17.55)min]were shorter than those in the control group[(448.22±32.54)min、(168.24±28.53)min],the differences were statistically significant(P<0.05).There were no significant differences in the second and third stages of labor between the two groups(P>0.05).The vaginal delivery rate,labor induction success rate and Bishop cervical maturity score[90.5%,61.9%,(6.75±1.12)points]in the study group were higher than those in the control group[57.1%,35.7%,(4.35±0.68)points],and the differences were statistically significant(P<0.05).There were no significant differences in postpartum blood loss and Apgar score between the two groups(P>0.05).The incidence of complications of labor in the study group(2.4%)was lower than that in the control group(14.3%),and the difference was statistically significant(P<0.05).Conclusion Intravenous administration of phloroglucinol combined with oxytocin in the first stage of labor can promote cervical maturation,shorten the time of the first stage of labor,improve the rate of vaginal delivery and labor induction success rate,and reduce the risk of labor complications.

关 键 词：第一产程 缩宫素 间苯三酚 宫颈成熟度 分娩结局 

分 类 号：R473.71[医药卫生—护理学]