缩宫素在产科分娩过程的应用价值  

The application value of oxytocin in obstetric delivery process

作　　者：罗艳玲 Luo Yanling(Department of Obstetrics and Gynecology,Guandu District People's Hospital,Kunming 650200,China)

机构地区：[1]昆明市官渡区人民医院妇产科,云南昆明650200

出　　处：《实用妇科内分泌电子杂志》2024年第15期71-73,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨缩宫素在产科分娩过程中的应用价值。方法选取本院住院分娩的100例产妇为研究对象,随机分为两组,各50例。对照组按照常规分娩流程进行分娩,观察组在分娩过程中接受缩宫素的静脉滴注,比较两组患者的产程时间、产后出血量、产妇疼痛情况以及剖宫产率和阴道手术助产率,评估缩宫素在分娩过程中的价值。结果观察组第一产程时间(720.21±103.63)min,第二产程时间(160.25±10.32)min,第三产程时间(6.35±0.26)min。对照组,第一产程时间(768.68±123.25)min,第二产程时间(178.54±13.21)min,第三产程时间(8.25±1.23)min。观察组患者产后2 h出血量为(152.23±14.25)ml,对照组患者产后2 h出血量为(180.24±12.38)ml。观察组疼痛发生率低于对照组(P<0.05)。观察组手术助产、新生儿窒息、剖宫产率均低于对照组,但差异无统计学意义(P>0.05)。结论缩宫素对于产妇疼痛程度、剖宫产率以及阴道手术助产率等指标有积极的影响。Objective To explore the application value of oxytocin in obstetric delivery process.Methods 100 postpartum women who were admitted to our hospital for delivery were selected as the research subjects and randomly divided into two groups,each with 50 cases.The control group delivered according to the conventional delivery process,while the observation group received intravenous infusion of oxytocin during delivery.The labor process time,postpartum hemorrhage,maternal pain,cesarean section rate,and vaginal surgical delivery rate of the two groups of patients were compared to evaluate the value of oxytocin during delivery.Results The observation group had a first stage of labor time of(720.21±103.63)minutes,a second stage of labor time of(160.25±10.32)minutes,and a third stage of labor time of(6.35±0.26)minutes.The control group had a first stage of labor time of(768.68±123.25)minutes,a second stage of labor time of(178.54±13.21)minutes,and a third stage of labor time of(8.25±1.23)minutes.The observation group had a 2-hour postpartum bleeding volume of(152.23±14.25)ml,while the control group had a 2-hour postpartum bleeding volume of(180.24±12.38)ml.The incidence of pain in the observation group was lower than that in the control group(P<0.05).The rates of surgical assisted delivery,neonatal asphyxia,and cesarean section in the observation group were lower than those in the control group,but the difference was not statistically significant(P>0.05).Conclusion Oxytocin has a positive impact on indicators such as maternal pain,cesarean section rate,and vaginal surgical delivery rate.

关 键 词：产科分娩 缩宫素静脉滴注 产程观察 

分 类 号：R714.3[医药卫生—妇产科学]