双球囊扩张宫颈联合缩宫素催产的产程观察及护理

The observation of using double balloon dilatation and drops of pitocin as ecbolic during delivery and its nursing

目的:探讨双球囊扩张宫颈联合静滴缩宫素催产对产程的影响和护理方法。方法:选取足月妊娠分娩产妇82例,将其随机等分为对照组和观察组,对照组患者单纯进行缩宫素催产,观察组在对照组基础上使用双球囊扩张宫颈。比较两组产妇分娩时间、经阴道分娩产妇的产程时间、分娩并发症以及产后出血量。结果:观察组产妇顺产率高于对照组(P<0.05),产妇潜伏期、活跃期、第一产程、第二产程及总产程时间均短于对照组(P<0.05),产妇并发症发生率少于对照组(P<0.05),产后出血量少于对照组(P<0.05)。结论:双球囊扩张宫颈联合静滴缩宫素催产可以缩短产程,减少分娩并发症和胎儿窘迫发生,但是在操作过程中应掌握要点,才可达到良好效果。

Objective： To explore the influence of using double balloon dilatation and drops of pitocin as ecbolic during the stage of labor on the delivery and its nursing methods, speed up the delivery, and ease the pain of delivery women. Methods ： Pick 82 full - term delivery women as our subject and randomly divided them into control group and observation group. The control group delivery women only used ecbolic pitocin and the observation group delivery women used additional double balloon dilatation on the basis of regular ecbolic pitocin. Then compare the delivery time, the time of viginal delivery, delivery com- plications and postpartum blood volume. Results： The natural birth rate of delivery women in observation group was higher than that in control group（ P 〈 0. 05 ）, the incubation period, active phase, third stage of labor, second stage of labor , total time of delivery is shorter than in control group （P 〈 0. 05 ）, the occurrence rate of delivery complications was lower that in control group （ P 〈 0.05 ）, the postpartum blood volume was less than that in control group （ P 〈 0. 05 ）. Conclusion ： Using double balloon dilatation and drops of pitocin as ecbolic during delivery can short the stage of labor, decrease the occurrence rate of delivery complications and fetal compress in uterus. But only when the doctors know the key points, can achieve good results.