高龄初产妇应用间苯三酚联合导乐球的临床效果观察

Effects of phloroglucinol combined with doula ball on delivery outcomes among elderly primipara

目的 探讨高龄初产妇在临产后使用间苯三酚联合导乐球的临床效果.方法 回顾性选择符合条件的高龄初产妇140名,观察组在规律宫缩伴宫口开3 cm时使用间苯三酚联合应用导乐球进行干预,对照组在规律宫缩伴宫口开3 cm时按照常规产程护理方法进行护理,比较两组产妇产程时间、结局以及对产妇和新生儿的影响.结果 观察组第一产程活跃期时间少于对照组,自然分娩率高于对照组,差异有统计学意义（P〈0.05）,观察组与对照组第二、第三产程时间差异无统计学意义（P〉0.05）,两组产后出血及新生儿Apgar评分差异无统计学意义（P〉0.05）.结论 间苯三酚联合导乐球可以缩短高龄初产妇产程、提高自然分娩率,对产妇及新生儿无影响.

Objective To explore the effects of phloroglucinol combined with doula ball on delivery outcomes among elderly primipara near the time of labour. Methods A total of 140 eligible elderly primiparas were selected retrospectively. Patients in the observation group accepted phloroglucinol combined with doula ball when the uterine contraction was regular and uterus was 3 cm. In the control group, patients were treated with routine nursing care of birth process when the uterine contraction was regular and uterus was 3 cm. The time of birth process, delivery outcomes and impact of intervention on puerpera and neonate between two groups were compared. Results The active time of the first stage of labor in the observation group was significantly less than that in the control group （P〈0.05）. The rate of natural delivery in the observation group was higher than that in the control group with a significant difference （P〈0.05）. However, there were no statistically significant differences in time of the second and third stage of labor as well as the scores of pain between two groups （P〉0.05）. The postpartum hemorrhage and the Apgar scores of neonate were not significantly different between two groups （P〉0.05）. Conclusions Phloroglucinol combined with doula ball may shorten the birth process among elderly primipara, and improve the rate of natural delivery, and have no impact on puerpera and neonate.