间苯三酚对宫颈原因导致产程异常的助产效果观察

Effects of phloroglucinol injection in prolonged latent phase of labor

目的:探讨产妇因宫颈原因在产程异常时使用间苯三酚的助产作用及效果。方法:取产科分娩的产妇1 600例,分为观察组和对照组,每组800例。观察组按医嘱因宫颈原因在产程潜伏期延长(>16 h)、产程停滞或宫颈水肿时静脉注射间苯三酚80 mg,对照组产妇使用传统的宫颈封闭或静脉注射安定。结果:观察组在剖宫产率、产后出血、宫颈裂伤率比对照组低(P<0.01),新生儿窒息率低(P<0.05)。结论:因宫颈原因导致产程异常时静脉注射间苯三酚,能软化宫颈,消除宫颈水肿,促进宫颈开张,促进产程进展[1],降低孕产妇剖宫产率,减少产后出血,减少宫颈裂伤,降低新生儿窒息率,比传统的宫颈封闭及静脉注射安定等方法效果好。

Objective To investigate the effects of phloroglucinol injection in prolonged latent phase of labor. Method 1 600 cases of ob- stetric delivery women were selected and divided into the observation group and the control group, each with 800 cases. The observation group was given phloroglucinol SO mg in intravenous injection according to the doctor＇s advice in prolonged latent phase of labor,the control group women refused to use phloroglucinol. Results In the observation group, the rates of cesarean section,postpartum hemorrhage and cervical lac- eration were lower than the control group （P 〈 0. 05 ）. Meanwhile, the neonatal asphyxia rate was low （P 〈 0. 05 ）. Conclusion During the pro- longed latent phase of labor,intravenous injection with phloroglucinol 80 mg can reduce the rates of cesarean section, postpartum hemorrhage, cervical laceration and neonatal asphyxia rate, the effect is better than cervical injection and intravenous injection of diazepam and other tradi- tional methods.