利多卡因复合阿托品宫颈封闭对宫颈水肿产妇分娩结局的影响

Effect of end-results of parturition in using lydocaine and atropine to treat cervix edema by cervix blockade on lying-in woman with cervix edema

目的探讨利多卡因复合阿托品宫颈封闭对宫颈水肿产妇分娩结局的影响。方法选择70例产程中发生宫颈水肿的产妇随机分为观察组35例和对照组35例。观察组于宫颈水肿部位多点注射,对照组常规观察产程。对产妇的宫颈水肿消退情况、宫颈口扩张情况、分娩方式、宫颈裂伤、产后出血及新生儿窒息等情况进行对比分析。结果观察组与对照组的宫颈水肿消退有效率、宫颈口扩张速度、阴道分娩率间差异均有统计学意义(P<0.05);两组的宫颈裂伤率、产后出血率及新生儿窒息率间差异均无统计学意义(P>0.05)。结论利多卡因复合阿托品宫颈封闭治疗对消除产程中宫颈水肿效果确切、无明显不良反应。

Objective To study effect of end - results of parturition in using lydocaine and atropine to treat cervix edema by cervix blockade on lying - in woman with cervix edema. Methods Seventy cases with cervix edema during labor were randomly divided into the observe group（35 case） and the control group（35 case）. Multidrop injection was applied to the location of edema in the observe group, while in the control group, the laboring process was observed with the normal method. The regression time of cervix edema, stretching condition of the cervix mouth, deliver mode, cervical laceration, postpartum hemorrhage and neonatal asphyxia in each group were observed and analyzed. Results There were significant differences between the two groups in cervix edema regression efficiency, cervical mouth dilation speed and vaginal delivery rate （P 〈 0.05 ） ;and there was significant differences between the two groups in cervical laceration rats,postpartum hemorrhage rate and neonatal asphyxia rate （ P 〉 0.05 ）. Conclusions It is an effective method for treat cervix edema to block cervix with lidocaine and atropine during labor. This method is very effective and without any obvious adverse reactions.