摘要
目的:探究新产程时限标准与旧产程时限标准的临床应用价值。方法:选择2014年3月-2015年3月本院接诊的120例通过阴道试产、单胎活产孕妇,按照随机数字表法分为研究组和对照组,每组60例。对照组采用Friedman产程时限标准对母婴观察,研究组按照新产程时限标准对母婴进行观察。比较两组母婴产程特性及母婴结局,包括产妇产程实现、围产儿结局、新生儿Apgar评分、产妇妊娠结局、妊娠并发症等。结果:研究组与对照组活跃期比较,差异无统计学意义(P>0.05);研究组与对照组第一、二产程时限比较,差异均有统计学意义(P<0.05);研究组与对照组新生儿胎儿宫内窘迫、新生儿窒息、转入NICU、羊水粪染情况比较,差异均无统计学意义(P>0.05);两组产妇分娩后1、5 min Apgar评分比较,差异均无统计学意义(P>0.05);两组产妇产钳助产、产后出血、会阴切口感染比较,差异均无统计学意义(P>0.05);两组妊娠胎膜早破、脐带脱垂、羊水过多比较,差异均无统计学意义(P>0.05)。结论:新产程标准放宽潜伏时限(第二产程)可以减少不必要的产程干预及新生儿与产妇的并发症;产程观察需结合胎先露下降和宫颈扩张情况来监视胎儿安危与产妇精神;采用新产程时限标准可以通过阴道分娩,从而有效降低剖宫产率,值得在临床上大力应用推广。
Objective：To investigate the clinical application value of new labor standard time limit and old labor standard time limit.Method：A total of 120 cases by vaginal trial production,single live births in pregnant women from March 2014 to March 2015 in our hospital admissions were selected,in accordance with the random number table they were randomly divided into the study group and the control group,60 cases in each group.The control group was treated with Friedman labor standards for maternal and child observation time,the study group was treated with new labor standards for maternal and child observation time.The labor characteristics and maternal and neonatal outcomes,including maternal labor implementation,perinatal outcome and neonatal Apgar score,maternal pregnancy outcomes,pregnancy complications of two groups were observed and compared.Result：The study group with the active phase, compared with the control group,there was no significant difference（P〉0.05）.The first and second stage of labor times of two groups were compared,the differences were significant（P〈0.05）.Freshmen children of fetal distress,neonatal asphyxia,into NICU,cases of amniotic fluid of two groups compared,the differences were no significant（P〉0.05）.1,5 min Apgar scores of two groups compared,the differences were not significant（P〉0.05）.Forceps delivery,postpartum hemorrhage,episiotomy infection of two groups compared,there were not significant differences（P〉0.05）.Premature rupture of membranes,umbilical cord metastasis,excessive amniotic fluid of two groups compared,the differences were not significant（P〉0.05）.Conclusion：New labor standard time limit relaxed latency time（second stage） can reduce unnecessary labor intervention and neonatal and maternal complications.Production process requires a combination of observation and circumstances under fetal monitor cervical dilation and fetal safety maternal spirit.The introduction of new labor time standards by vaginal delivery,thus effectively reducing the rate of cesarean section,only in clinical vigorously promote the application.
出处
《中国医学创新》
CAS
2016年第24期120-123,共4页
Medical Innovation of China
关键词
新产程时限标准
旧产程时限标准
产程图
New labor standard time limit
Old labor standard time limit
Partogram
