手膝位联合利多卡因宫颈涂抹治疗宫颈水肿的效果观察  

作　　者：程珍 裴金霞[1] 朱翡翡[1] 刘瑞 

机构地区：[1]杭州市中医院,310007

出　　处：《浙江临床医学》2024年第8期1190-1192,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市医药卫生科技项目(A20220268)。

摘　　要：目的观察手膝位联合利多卡因宫颈涂抹治疗宫颈水肿的应用效果。方法选取2022年4月至2023年8月分娩时宫颈水肿的产妇100例,采用随机数字表法分为对照组和观察组,每组各50例。对照组予利多卡因宫颈涂抹治疗,观察组予利多卡因宫颈涂抹联合手膝位治疗,比较两组患者宫颈水肿消退率、第一产程时间、自然分娩率、产后出血。结果观察组第一产程时间和产后出血量低于对照组(P<0.05),观察组宫颈水肿消退率、自然分娩率高于对照组(P<0.05)。结论利多卡因宫颈涂抹联合手膝位能有效消除宫颈水肿,缩短产程时间,提高自然分娩率。Objective To observe the effect of hand and knee position combined with lidocaine cervical application on eliminating cervical oedema.Methods 100 patients with cervical oedema at the time of delivery from April 2022 to August 2023 were selected and divided into a control group and an observation group using the random number table method,with 50 cases in each group.The control group was treated with lidocaine cervical smear,and the observation group was treated with lidocaine cervical smear combined with hand-and-knee position.The rate of cervical oedema subsidence,the duration of the first stage of labor,the rate of spontaneous delivery,and post-partum hemorrhage in the two groups were compared.Results The duration of the first stage of labor and post-partum hemorrhage in the observation group were lower than those in the control group(P<0.05),and the rates of cervical oedema subsidence and natural delivery in the observation group were higher than those in the control group(P<0.05).Conclusion Lidocaine cervical smear combined with hand and knee position can effectively eliminate cervical oedema,shorten the duration of labor and increase the rate of natural delivery.

关 键 词：利多卡因 宫颈涂抹 手膝位 宫颈水肿 

分 类 号：R714[医药卫生—妇产科学]