阿托品与盐酸利多卡因联合封闭宫颈治疗产时宫颈水肿的效果观察

Observation of the Effect of Atropine and Lidocaine Hydrochloride Combined with Cervical Sealing in the Treatment of Intrapartum Cervical Edema

目的:分析阿托品与盐酸利多卡因(LDH)宫颈封闭治疗产时宫颈水肿的临床疗效。方法:2019年7月至2021年3月于都县人民医院收治阴道试产时出现宫颈水肿的产妇60例。以随机数字表法分观察组与对照组,每组各纳入30例。观察组的疗法选择阿托品+LDH联合封闭宫颈治疗,对照组的疗法选择传统的地西泮治疗,对比两组之间的疗效。结果:实验组与对照组相比阴道分娩率更高,宫口全开时间更短,宫口扩张速度更快,产程时间更短,且产后2 h出血量更少,新生儿阿普加评分更高,其并发症概率更低,差异有统计学意义(P<0.05)。结论:对宫颈水肿产妇予以阿托品+LDH联合封闭宫颈治疗能够提升阴道分娩率,缩短产程,改善新生儿状态,并发症更少。

Objective:To analyze the clinical efficacy of atropine and lidocaine hydrochloride(abbreviation LDH)for cervical sealing treatment of intrapartum cervical edema.Methods:From July 2019 to March 2021,in Yudu People's Hospital,60 Vaginal trial delivery with cervical edema were divided into experimental group and control group with 30 cases in each group.The observation group was treated with atropine+LDH,and the control group was treated with diazepam,to observe the effect of the two groups.Results:Compared with the control group,the retrospective analysis showed that the vaginal delivery rate was higher;the time of full opening of the uterus was shorter,the rate of uterine dilation was faster,the labor process was shorter,and the amount of bleeding was less 2 h after delivery,the Apgar score of newborns was higher,and the complication rate was lower,the difference was statistically significant(P<0.05).Conclusion:The treatment of atropine+LDH for parturients with intrapartum cervical can improve the rate of vaginal delivery,shorten the labor process,improve the state of the newborn,and have fewer complications.