临产潜伏期使用哌啶对产程和分娩方式的影响  

Effects of Dolantin Used Reasonally during the Latent Phase on the Duration of Labor and Mode of Delivery

作　　者：任利容[1] 陈晴[1] 张一慧[1] 

机构地区：[1]湖北中医学院附属医院妇产科,武汉430061

出　　处：《华中医学杂志》2003年第3期129-130,共2页Central China Medical Journal

摘　　要：目的 研究潜伏期合理使用哌(口替)啶对产程和分娩方式的影响。方法 采用前瞻性、随机对照研究,将潜伏期精神紧张、疲劳、有潜伏期延长倾向的健康、单胎、足月的初产妇随机分为A、B两组,A组肌注哌(口替)啶100 mg。B组肌注安定10 mg。观察两组产程时间、分娩方式、新生儿Apgar评分情况。结果 A组活跃期和第二产程时间分别为(99.2±35.4)分钟、(45.2±14.4)分钟,明显短于B组(143.1±38.1)分钟、(68.8±14.9)分钟,有极显著的统计学差异(P<0.01)。A组剖宫产率和器械助产率分别为8.9％、13.3％,明显低于B组28.9％、24.4％,有极显著的统计学差异(P<0.01)。两组新生儿Apgar评分无统计学差异(P>0.05)。结论 潜伏期合理使用哌(口替)啶可加快产程,降低剖宫产率和器械助产率,对新生儿出生结局无不良影响。Objective To study the effects of Dolatin used reasonally during the latent phase on the duration of labor and mode of delivery in the parturients. Methods A randomized controlled prospective trial was performed on 90 healthy nulliparous women under stress or fatigue, with the prolonged tendency during the latent phase of labor. They were randomly given Dolantin 100 mg i. m. (group A) or Valium 10 mg i. m (group B). The duration of labor and mode of delivery of two groups were recorded. The neonate was assessed using Apgar scores. Results The group A experienced a significantly lower mean duration in active phase (99.2±35.4min), the second stage (45.2±14 min) than that of group B. The cesarean section rate was 8.9%, lower than that of group B (28.9%). The rate of instrumental delivery of group A(13.3%) was significantly lower than that of group B (24.4%). There were significantly differences between the two groups in the duration of labor, the rate of cesarean section and instrumental delivery. But there was no difference between the two groups in the neonate Apgar scores. Conclusion Dolantin used reasonally during the latent phase accelerates the duration of labor, decreases the rate of cesarean section and instrumental delivery, has no negative effects on the outcome of the neonate.

关 键 词：临产潜伏期 哌Ti啶 产程 分娩方式 影响 

分 类 号：R714.3[医药卫生—妇产科学]