活跃期入量及能量管理对初产妇分娩结局及新生儿代谢状态的影响

Effects of active phase liquid intake and energy management on outcomes of parturient women and neonatal metabolic status

目的 探讨活跃期入量及能量管理对初产妇分娩结局及新生儿代谢状态的影响。方法 选取2019年1-8月在该院住院分娩的初产妇100例,随机分为观察组与对照组两组,每组50例。所有产妇均给予基础护理,对照组产妇不给予静脉输液,但是可以进水及根据自己需求自由饮食,观察组产妇在进入活跃期后给予入量及能量管理,观察两组产妇分娩结局及新生儿代谢状态。结果 对照组剖宫产率为16.00%,高于观察组的4.00%,差异有统计学意义(P<0.05);对照组产妇活跃期及第二产程时间、产后2 h出血量长于(多于)观察组,差异有统计学意义(P<0.05),新生儿1 min和5 min Apgar评分比较,差异无统计学意义(P>0.05);两组新生儿产后随机血糖、脐动脉血p H值、二氧化碳分压(PaCO2)、血氧分压(PaO2)比较,差异无统计学意义(P>0.05)。结论 初产妇活跃期入量及能量管理有助于缩短产程,减少产后出血量,同时对新生儿代谢状态无明显影响。

Objective To investigate the effects of active phase liquid intake and energy management on outcomes of parturient women and neonatal metabolic status.Methods We selected 100 cases of parturient woman from January to August 2019 in hospital,the parturients were randomly divided into the management group and the control group,with 50 cases in each group,all parturients received basic care,the control group of parturients do not intravenous infusion,but can eat water and diet,the control group of parturients active phase liquid intake and energy management.To observed outcome of delivery and the metabolic status of newborn.Results The cesarean section rate was 16.00%in the control group and 4.00%in the management group,the difference was statistically significant(P<0.05).Maternal active period and the second stage of labor,2 h postpartum bleeding of the control group was longer than the management group(P<0.05).1 min and 5 min Apgar of two groups were no statistically significant difference between the two groups(P>0.05).Neonatal postpartum random blood glucose,umbilical arterial blood p H,PaCO2,PaO2 of two groups were no statistically significant difference between the two groups(P>0.05).Conclusion The active phase liquid intake and energy management in the active period of the parturient can shorten the labor process,and reduce postpartum bleeding,at the same time,there was no significant effect on neonatal metabolic status.