保产无忧散对自然分娩初产妇产程时间及分娩结局的影响

Effect of Baochan Wuyou Powder on Labor Time and Delivery Outcome of Primipara in Natural Delivery

目的探究保产无忧散在初产妇促自然分娩中的应用价值。方法选取2018年10月—2020年9月期间秦皇岛市妇幼保健院中医妇科收治的144例有自然分娩意愿的初产妇作为研究对象,按照随机数字表法分为对照组与治疗组,每组各72例。对照组给予常规分娩干预,治疗组在此基础上联合保产无忧散。随访至分娩,比较两组产妇Bishop宫颈成熟度评分、自然分娩成功率、产程时间及不良分娩结局发生率。结果入院时两组患者宫颈Bishop评分比较,差异无统计学意义(P>0.05)。临产时治疗组宫颈Bishop评分高于对照组,差异有统计学意义(P<0.05)。治疗组自然分娩成功率94.44%(68/72)较对照组83.33%(60/72)高,差异有统计学意义(P<0.05)。治疗组第一产程、第二产程、第三产程及总产程时间均短于对照组,差异有统计学意义(P<0.05)。治疗组胎儿窘迫发生率1.39%、新生儿窒息发生率1.39%及产后出血发生率4.17%均低于对照组9.72%、8.33%、12.50%,差异有统计学意义(P<0.05)。结论保产无忧散有利于促进初产妇宫颈成熟,缩短产程,提高自然分娩成功率,且可降低不良分娩结局发生率。

Objective To explore the application value of Baochan Wuyou Powder in promoting natural delivery of primipara.Method From October 2018 to September 2020,144 primiparas who were admitted to the Department of Traditional Chinese Medicine and Gynecology of Qinhuangdao Maternal and Child Health Hospital were selected as the research objects,and they were divided into the control group and the treatment group according to the random number table method.72 cases.The control group was given routine delivery intervention,and the treatment group was combined with Baochan Wuyou Powder on this basis.After follow-up until delivery,the Bishop cervical ripening score,the success rate of natural delivery,the duration of labor and the incidence of adverse delivery outcomes were compared between the two groups.Results There was no significant difference in cervical Bishop score between the two groups at admission(P>0.05).During labor,the cervical Bishop score of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).The success rate of natural delivery in the treatment group was 94.44%(68/72)higher than that in the control group(83.33%(60/72),the difference was statistically significant(P<0.05).The time of the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the treatment group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of fetal distress in the treatment group was 1.39%,the incidence of neonatal asphyxia was 1.39%,and the incidence of postpartum hemorrhage was 4.17%,which were lower than those in the control group,which were 9.72%,8.33%,and 12.50%,and the differences were statistically significant(P<0.05).Conclusion Baochan Wuyou Powder is conducive to promoting cervical maturity of primipara,shortening the labor process,improving the success rate of natural delivery,and reducing the incidence of adverse delivery outcomes.