早期人工破膜对分娩影响的临床探讨

Early artificially broken membrane for the delivery of the clinical explore influence

目的：研究产程进入活跃期之前（宫口开大〈3cm）行人工破膜早期干预对分娩的影响。方法：选取宫颈Bishop评分≥7分的正常足月产妇272例，根据本凡意愿分为两组，研究组先行人工破膜，对照组不予以早期干预，观察两组产程时间、剖宫产率、新生儿窒息率、产后出血量。结果：研究组总产程明显短于对照组，且差异有统计学意义（P〈0．01）；研究组剖宫产率较对照组低，差异有统计学意义（P〈0．05），且两组产妇剖宫产原因明显不同；新生儿窒息率观察组低于对照组，差异有统计学意义（P〈0．05）；两组产后出血量比较：研究组（223．165±64．15）mL，对照组（230±70．24）mL，差异无统计学意义（P〉0．05）。结论：早期人工破膜可以明显缩短产程、减少新生儿窒息发生、降低剖宫产率，是可以推广的产程干预手段。

Objective ：Before the research course of childbirth enters the active phase, （palace mouth opens big 〈3cm） the good man--power broken membrane early time to intervene to the childbirth the influence. Methods：The selection cervix of the uterus Bishop grading ≥7 minute normal full--term parturient woman 272 examples, divide into two groups according to myself wish, the study team advance artificial broken membrane, the control group do not give the early intervention, observes two group of course of childbirth time, the c--section rate, newborn suffocation rate, the post--natal volume of blood. Results：Study team total course of childbirth obvious short in control group, and the difference has statistics significance （P〈0. 01）; The study team c--section rate compares the control group to be low, the difference has statistics significance （P〈0.05）, and two groups of parturient women c-- section reason obvious different; The newborn suffocation rate observation group is lower than the control group, the difference has statistics significance （P〈0.05） ;Two group of post--natal volume of blood comparisons：Study team （223. 165±64.15）mL, control group （230±70.24）mL, difference non-- statistics significance （P〉0.05）. Conclusions ：The early artificial broken membrane may reduce the course of childbirth, reduce the newborn obviously to suffocate has, reduces the c--section rate, is course of childbirth intervention method which may promote.