间苯三酚注射液对产程潜伏期产程进展及新生儿Apgar评分的影响  

Effect of phloroglucinol injection on labor progress during latent period of labor and neonatal Apgar score

作　　者：常丽莉 周娟 CHANG Lili;ZHOU Juan(Department of Obstetrics and Gynecology,Shenzhen Sami Medical Center/the Fourth People's Hospital of Shenzhen,Shenzhen,Guangdong,518000,China;Department of Obstetrics and Gynecology,the Third People's Hospital of Longgang District,Shenzhen,Guangdong,518000,China)

机构地区：[1]深圳市萨米医疗中心/深圳市第四人民医院妇产科,广东深圳518000 [2]深圳市龙岗区第三人民医院妇产科,广东深圳518000

出　　处：《当代医学》2023年第34期115-117,共3页Contemporary Medicine

摘　　要：目的探究间苯三酚注射液对产程潜伏期产程进展及新生儿Apgar评分的影响。方法选取2020年1月至2021年1月于深圳市第四人民医院就诊的90例正常足月妊娠初产妇作为研究对象,按照随机数表法随机分为研究组与对照组,每组45例。研究组规律宫缩进入潜伏期时,静脉注射间苯三酚80mg,对照组不给予药物,比较两组第一产程(潜伏期及活跃期)、第二产程、第三产程、宫口扩张速度、产后出血量、宫颈水肿发生率、剖宫产率及新生儿窒息情况、分娩疼痛程度。结果研究组第一产程潜伏期及活跃期均短于对照组,宫口扩张速度快于对照组(P<0.05),两组第二产程、第三产程、产后出血量比较差异无统计学意义;研究组宫颈水肿发生率、剖宫产率均低于对照组(P<0.05);两组新生儿Apgar评分比较差异无统计学意义;研究组分娩疼痛程度轻于对照组(P<0.05)。结论间苯三酚注射液用于产妇第一产程潜伏期,可缩短第一产程,加快宫口扩张速度,减轻孕产妇分娩疼痛程度,且能降低宫颈水肿发生率及剖宫产率。Objective To explore the effect of phloroglucinol injection on labor progress during latent period of labor and neonatal Apgar score.Methods 90 primiparas with normal term pregnancy who were treated from January 2020 and January 2021 in the Fourth People’s Hospital of Shenzhen were selected as the research subjects,and they were divided into the study group and the control group according to the random number ta-ble method,with 45 cases in each group.The study group was given 80 mg phloroglucinol intravenously when the regular contractions entered the la-tent period,while the control group were not given the drug,the first stage of labor(latent period and active period),the second stage of labor,the third stage of labor,the speed of uterine dilation,postpartum hemorrhage volume,incidence rate of cervical edema,cesarean section rate,neonatal Apgar score and and the degree of labor pain were compared between the two groups.Results The latent and active period of the first stage of labor in the study group were shorter than those in the control group,and the speed of uterine dilation was faster than that in the control group(P<0.05),but there were no statistical differences in the second stage of labor,the third stage of labor and postpartum hemorrhage volume between the two groups.The incidence rate of cervical edema and cesarean section rate in the study group were lower than those in the control group(P<0.05).There was no significant difference in neonatal Apgar score between the two groups;the degree of labor pain in the study group was lighter than that in the control group(P<0.05).Conclusion Phloroglucinol injection used in the first stage of labor can shorten the first stage of labor,accelerate the speed of uterine dilation,reduce the degree of labor pain,and reduce the occurrence of cervical edema and the rate of cesarean section.

关 键 词：间苯三酚 潜伏期 产程进展 分娩疼痛 新生儿Apgar评分 

分 类 号：R722.1[医药卫生—儿科]