新、旧产程标准在产妇中的应用效果比较

Application effect comparison of new and old labor standards in puerperae

目的比较新、旧产程标准在产妇中的应用效果。方法选取2016年1月~2017年6月我院产科采用新产程标准分娩的100例产妇作为观察组,同期采用旧产程标准的100例产妇作为对照组,所有均为初产妇。比较两组产妇的产程时间:包括第一产程、第二产程、总产程;两组产妇的分娩方式(剖宫产、阴道助产、自然分娩);分娩结局:观察产后出血、新生窒息发生率。结果观察组产妇第一产程、第二产程、总产程短于对照组,而缩宫素使用率明显低于对照组,差异均有统计学意义(P<0.05);观察组产妇自然分娩率明显高于对照组(P<0.05),而阴道助产明显低于对照组,差异均有统计学意义(P<0.05);两组产妇剖宫产比较,差异无统计学意义(P>0.05);观察组产妇产后出血、新生儿窒息、脐动脉血pH<7.00的比例均明显低于对照组,差异有统计学意义(P<0.05)。结论产妇采用新产程标准,显著降低产妇的阴道助产率和中转剖宫产率,减少新生儿窒息情况,可在临床上广泛应用。

Objective To compare the application effect of new and old labor standards in puerperae.Methods A total of100 maternal women who gave birth using the new labor standard from January 2016 to June 2017 in our hospital were selected as observation group.During the same period,100 puerperae used old labor standard were employed as control group.All patients were primiparae.The time of labor stages including first stage of labor,second stage,and total labor stage were compared in the two groups.The delivery modes such as cesarean section,vaginal assistant labor,natural childbirth were compared in the two groups.The patient′s delivery outcomes including postpartum hemorrhage,the incidence of neonatal asphyxia were observed in the two groups.Results In the observation group,the first stage of labor,the second stage of labor and the total stage of labor were all shorter than those in the control group.The oxytocin use rate was significantly lower than that in the control group,which displayed statistical differences（P〈0.05）.In the observation group,the incidence of spontaneous labor was higher and vaginal assistant labor was lower compared with the control group（P〈0.05）.There was no statistical difference between the two groups in cesarean section（P〉0.05）.The proportions of postpartum hemorrhage,neonatal asphyxia and umbilical arterial blood pH〈7.00 in the observation group were all significantly lower than those in the control group（P〈0.05）.Conclusion The new labor standard in puerperae can significantly decrease the vaginal assistant labor rate and cesarean section transferring rate and reduce neonatal asphyxia,which can be extensively used in clinic.