应用间苯三酚治疗分娩所致宫颈水肿的临床疗效评价  

Evaluation of Clinical Efficacy of Application of Resorcinol in the Treatment of Cervical Edema Caused by Childbirth

作　　者：张凤敏[1] 刘涛 刘玉梅 ZHANG Fengmin;LIU Tao;LIU Yumei(Department of Obstetrics,Shouguang People's Hospital,Shouguang,Shandong Province,262700 China;Depart ment of Stomatology,Dongcheng Hospital of Shouguang People's Hospital,Shouguang,Shandong Province,262700 China)

机构地区：[1]寿光市人民医院产科,山东寿光262700 [2]寿光市人民医院东城医院口腔科,山东寿光262700

出　　处：《系统医学》2024年第6期157-160,共4页Systems Medicine

摘　　要：目的分析产妇分娩所致宫颈水肿采用间苯三酚治疗的作用效果。方法选取2022年4月—2023年4月寿光市人民医院收治的90例分娩导致宫颈水肿的产妇为研究对象。利用随机数表法将其分为两组,各45例。对照组采用利多卡因+阿托品治疗,观察组采用间苯三酚治疗。对比两组临床疗效、产程时间、分娩相关指标、宫颈水肿消退率与经阴道分娩率。结果观察组治疗总有效率为93.33%,高于对照组的77.78%,差异有统计学意义(χ^(2)=4.405,P=0.035)。观察组第1、2、3产程时间均短于对照组,差异有统计学意义(P均<0.05)。观察组宫口扩张速度、新生儿Apgar评分、宫口全开时间及产后2 h出血量优于对照组,差异有统计学意义(P均<0.05)。观察组宫颈水肿消退率和经阴道分娩率均高于对照组,差异有统计学意义(P均<0.05)。结论产妇分娩所致宫颈水肿采取间苯三酚治疗效果更优,可促进宫口扩张,缩短产程时间,利于提高新生儿Apgar评分与经阴道分娩率。Objective To analyze the effect of maternal cervical edema caused by childbirth treated with resorcinol.Methods 90 puerperants of cervical edema caused by childbirth admitted to Shouguang People's Hospital from April 2022 to April 2023 were selected as the study objects.They were divided into two groups using a random number table,with 45 cases in each group.Puerperants in the control group were treated with lidocaine+atropine,puerper ants in the observation group were treated with resorcinol.Clinical efficacy,duration of labor,delivery-related in dexes,cervical edema subsidence rate and transvaginal delivery rate were compared between the two groups.Results The total treatment efficiency of the observation group was 93.33%,which was higer than 77.78%of the control group,the difference was statistically significant(χ^(2)=4.405,P=0.035).The duration of the 1st,2nd and 3rd stage of labor in the observation group was shorter than those in the control group,the differences were statistically significant(all P<0.05).The speed of uterine dilatation,neonatal Apgar score,the time of full opening of the uterine orifice and the amount of bleeding in the 2 h postpartum period of the observation group were better than those of the control group,the differences were statistically significant(all P<0.05).The rate of cervical edema subsiding and the the rate of trans vaginal delivery of the observation group were higher than those of the control group,the differences were statistically significant(both P<0.05).Conclusion The treatment of cervical edema caused by childbirth with resorcinol has a bet ter clinical effect,which can promote the dilatation of the uterine orifice,shorten the duration of labor,and improve the neonatal Apgar score and the rate of transvaginal delivery.

关 键 词：分娩 宫颈水肿 间苯三酚 治疗效果 产程时间 

分 类 号：R714[医药卫生—妇产科学]