探讨一种安全有效的引产方法应用-小滴速调控催产素

Monitored oxytocin infusion starting from low drip rate:A safe and effective approach to induced labor

目的:探讨小滴速调控催产素方法在产科引产中的护理效果。方法:选取2018年3月至2019年3月在我院产房进行计划分娩,有阴道试产条件、足月、头位、Bishop评分为6分或以上,胎膜已破,有弱宫缩或不规则宫缩的初产妇300例为观察组作为研究对象,在执行操作时助产士采取从1滴/分开始小滴速调控催产素的方法进行滴注观察,选取同期同条件的产妇300例作为对照组,采取传统常规的催产素滴注方法进行,对两组产妇的分娩方式、计划分娩成功率、总产程时数、催产素并发症(急产、先兆子宫破裂、子宫破裂)发生情况进行观察和记录。结果:对比两组产妇的分娩方式,计划分娩成功率差异无统计学意义(P>0.05);对照组总产程时数少于观察组;观察组产妇的催产素并发症(急产、先兆子宫破裂、子宫破裂)发生数明显少于对照组,差异有统计学意义(P<0.05)。结论:在产科引产过程中,采取小滴速调控催产素方法,便捷易行、可控性强、安全性高,可降低催产素并发症(急产、先兆子宫破裂、子宫破裂)的发生。

Objective:To investigate the nursing outcome with monitored oxytocin infusion starting from low drip rate for induced labor in a department of obstetrics.Methods:Included in this study were 300 primiparous women scheduled for delivery in our hospital between March 2018 and March 2019.These women,assigned to the study group,were all indicated for vaginal trial delivery,with full term,cephalic presentation fetus,a Bishop score of 6 or above,membrane rupture,and weak or irregular uterine contractions.During the labor,the women in the study group were given midwife-monitored oxytocin infusion starting from a low drip rate(1 drip/min)which was later elevated as needed.A contemporary cohort of 300 parturients with similar conditions was enrolled as the control group to be given oxytocin infusion as usually practiced.The delivery modes,success rate of scheduled delivery,total labor hours,and oxytocin complications(such as precipitous delivery,threatened uterine rupture,and uterine rupture)in the two groups were recorded.Results:There was no statistically significant difference in the success rate of scheduled delivery between the two groups of women according to delivery modes(P>0.05).The total labor hour of the control group was fewer than that in the study group.Significantly fewer women in the study group experienced oxytocin-related complications such as precipitous delivery,threatened uterine rupture,and uterine rupture,compared to the control group with statistically significant differences between groups(P<0.05).Conclusion:During induced labor,monitored infusion of oxytocin starting from a low drip rate can be a simple approach that is easy-to-use,controllable,and safe,and can reduce oxytocin-related complications such as precipitous labor,threatened uterine rupture,and uterine rupture.