山莨菪碱联合心理卫生宣教对宫颈异常产妇产程影响

EFFECTS OF COTHERAPY WITH ANISODAMINE AND PSYCHOLOGICAL HEALTH EDUCATION ON LABOR OF LYING-IN WOMEN WITH CERVICAL ABNORMALITIES

目的探讨在第一产程中静脉推注山莨菪碱（654—2）并配合心理卫生宣教对宫颈异常产妇产程的影响。方法2012年1月一2014年1月，在我院分娩且在第1产程中宫颈异常的产妇510例，随机分为观察A1组、观察A2组、对照组，观察Al组于潜伏期时进行初步的心理卫生宣教，活跃期时静脉推注654—2（10mg），并进一步进行心理卫生宣教；A2组仅在活跃期静脉推注654—2（10mg）；对照组既不干预产程也不进行心理卫生宣教。观察并比较各组产程中潜伏期、活跃期及阴道分娩率。结果观察组产程中潜伏期及活跃期明显短于对照组，阴道分娩率明显高于对照组，差异有显著性（F=82．58、32．99，q=3．13～17．07，χ2=55．73，P〈o．01）；观察A1组产程中潜伏期及活跃期明显短于A2组，差异有显著性（q=13．94、7．80，P〈0．01）。结论对宫颈异常产妇静脉推注654—2并配合心理卫生宣教，能有效缩短产程，提高经阴道分娩率，降低剖宫产率。

Objective To discusses the influence of IV injection of anisodamine （654-2） during the first labor stage plus psychological health education （PHE） on lying-women with cervical abnormalities. Methods This study consisted of 510 lying in women giving birth in our hospital during the period from January 2012 to January 2014, who had cervical abnormalities in the first labor stage. The women were divided in random into observation group A1 （group A1）, observation group A2 （group A2） and control group. In group AI, preliminary PHE was carried out in the latent phase, and IV injection of 654-2 （10 rag） was given in the active phase and further PHE conducted; in group A2, given only IV 654-2 （10mg） in active phase; in the control group, neither intervention in birth process nor PHE was given. The latent phase, active phase in birth process and vaginal delivery rates were compared among each group. Results The latent phase and active phase of birth process in groups A1 and A2 were obviously shorter than that in the control group, and the vaginal delivery rate was markedly higher, the differences were statistically significant （F=82.58,32.99;q=3.13--17.07; χ2=55.73;P〈0.01）. A comparison between group A1 and group A2 showed the latent phase and active phase of birth process in group A1 were shorter than that in group A2 （q=13.94,7.80;P〈0.01）. Conclusion For lying-in women with cervical abnormalities, IV injection of anisodamine combined with psychological health education can effectively shorten birth process, raise vaginal delivery rate, and reduce uterine-incision delivery.