手法扩张宫颈在无痛分娩中应用的临床观察

Study of dilation of uterine cervix during with analgesia

目的:研究无痛分娩中加用手法扩张宫颈对产程及母婴的影响。方法:将600例初产妇随机分为观察组和对照组。对照组除不加用手法扩张宫颈外其他处理措施与观察组相同。比较两组的产痛程度、产程时间、分娩方式、新生儿Apgar评分、产后出血量、产后感染等。结果:观察组的活跃期和总产程时间明显短于对照组(P<0.01)差异有高度显著性。结论:手法扩张宫颈能缩短产程,对母婴无不良影响。

Objective To study the effect of dilation of uterine cervix to laboring.Method All the pregnant women(600)were divided into two groups:research group and control group.Observe the labor pain,birth process,delivery mode,neonatal apgar score,bleeding volume and postnatal infection between the two groups.Results There was significant difference in the active stage and birth process between research group and control group(P<0.01).Conclusion Dilation of uterine cervix can shorten the birth process and had no side effect on mother and the child.