早期人工破膜法加速产程的临床研究

Clinical study on early artificial rupture of fetal membrane to shorten the stages of labor

作者对３３４例住院正常产妇采用早期人工破膜法加速产程，与自然破膜分娩产程进行对比研究，提出早期人工破膜是加速产程、减少产妇痛苦和并发症的有效措施。实验结果说明，早期人工破膜可明显缩短产程时间，两组对比差异有非常显著意义。因此提出，只要产妇无明显头盆不称、胎位不正，骨盆外测量正常，胎头衔接或入盆，宫口开大２～３ｃｍ，宫缩规律，排除隐性脐带先露，即可在无菌条件下行早期人工破膜。

This study was conducted to utilize artificial rupture of membrane to accelerate birth process and compare this method with natural rupture of membranes in normal delivering parturient.334 participants had artificial rupture of membranes done. The researcher found that artificial rupture of membrane in the eatly stage of delivery was a effective way to shorten the birth process, decrease the parturient's sufferings and dicrease complications. The result indicated that there was a significant difference between the two groups and artificial rupture of membrane could make the birth process shorter. It is recommended that artificial rupture of membrane can be used to accelerate the birth process if the parturient meet the following criteria: there are no obvious cephalopelvic disproportion and abnormal fetal position; have normal external pelvimetry;engagement of fetal head; cervix dilated to 2-3 cm; have regular uterine contraction; and no latent presentation of cord.