地西泮联合缩宫素对潜伏期延长产妇妊娠结局与睡眠质量的影响研究  

Effect of Diazepam Combined with Oxytocin on Pregnancy Outcomes and Sleep Quality in Parturients with Prolonged Latency Period

作　　者：柯志凤 KE Zhifeng(Department of Obstetrics and Gynecology,Anxi County Traditional Chinese Medicine Hospital,Anxi 362400,China)

机构地区：[1]安溪县中医院妇产科,安溪362400

出　　处：《世界睡眠医学杂志》2024年第12期2747-2749,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨地西泮联合缩宫素治疗方案在潜伏期延长产妇中的应用效果,结合产妇的妊娠结局与睡眠质量进行评价。方法:选取2021年5月至2023年10月安溪县中医院收治的潜伏期延长产妇86例作为研究对象,按照随机数字表法分为观察组和对照组,每组43例。观察组采用地西泮联合缩宫素治疗,对照组采用缩宫素治疗,对比治疗效果。结果:对比妊娠结局,观察组的不良妊娠结局发生率(6.98%)比对照组(23.26%)低,差异有统计学意义(P<0.05)。对比睡眠质量(治疗后),观察组的优良率(95.35%)比对照组(79.07%)高,差异有统计学意义(P<0.05)。对比各项睡眠指标(治疗后),观察组的入睡时间[(16.74±4.28)min]比对照组[(23.06±5.35)min]短,睡眠时间[(8.06±0.85)h]比对照组[(6.73±0.82)h]长,匹兹堡睡眠指数量表评分[(7.52±1.46)分]比对照组[(9.74±1.71)分]低,差异有统计学意义(P<0.05)。结论:潜伏期延长产妇的分娩过程中,实施地西泮联合缩宫素治疗,在改善睡眠质量、预防不良妊娠结局等方面有着良好的效果。Objective:To investigate the application effect of the diazepam combined with oxytocin treatment regimen in parturients with prolonged latency period,and evaluate pregnancy outcomes and sleep quality.Methods:A total of 86 parturients with prolonged latency period treated at Anxi County Traditional Chinese Medicine Hospital from May 2021 to October 2023 were selected as study subjects.They were randomly divided into the observation group and the control group,with 43 patients in each group.The observation group received treatment with diazepam combined with oxytocin,while the control group received oxytocin treatment alone.The treatment effects were compared between the two groups.Results:Comparing pregnancy outcomes,the incidence of adverse pregnancy outcomes in the observation group(6.98%)was significantly lower than that in the control group(23.26%),with a statistically significant difference(P<0.05).Comparing sleep quality after treatment,the observation group had a higher excellent rate(95.35%)compared to the control group(79.07%),with a statistically significant difference(P<0.05).Comparing various sleep indicators after treatment,the observation group had a shorter sleep onset time[(16.74±4.28)min]compared to the control group[(23.06±5.35)min],a longer total sleep time[(8.06±0.85)h]compared to the control group[(6.73±0.82)h],and a lower Pittsburgh Sleep Quality Index(PSQI)score[(7.52±1.46)points]compared to the control group[(9.74±1.71)points],with statistically significant differences(P<0.05).Conclusion:Implementing diazepam combined with oxytocin treatment in parturients with prolonged latency period during delivery has good effects on improving sleep quality and preventing adverse pregnancy outcomes.

关 键 词：潜伏期延长 产妇 地西泮 缩宫素 妊娠结局 睡眠质量 焦虑 抑郁 

分 类 号：R338.63[医药卫生—人体生理学] R714.1[医药卫生—基础医学]