氨茶碱地塞米松联合治疗第2产程胎儿宫内窘迫110例临床观察

Clinical observation on the effect of iminophylline-dexamethasone method in treating fetal distress during the second stage on 110 cases

目的 探讨氨茶碱与地塞米松在第二产程胎儿宫内窘迫的治疗效果。方法 随机将第二产程胎儿宫内窘迫者正常初产妇分为两组 ,实验组 110人 ,用氨茶碱加地塞米松治疗 ;对照组 10 5人 ,用 5 0 %葡萄糖加维生素C治疗。结果 实验组胎心的恢复、胎儿预后明显优于对照组 ,差异非常显著 (P <0 .0 1) ,新生儿窒息率、分娩手术率明显降低。结论 氨茶碱与地塞米松治疗第 2产程胎儿宫内窘迫是一种有效的方法 ,但对脐带压迫过紧引起的胎儿宫内窘迫治疗效果不明显。

Objective]To study the effect of iminophylline-dexamethasone method in treating fetal distress during the second stage.[Methods]Normal primiparae who had fetal distress in the second stage were randomly selected and divided into two groups: 110 of the were in the study group treated with iminophylline-dexamethasone, 105 of them were in the control group treated with 50% glucose and vitamin C. [Results]In the study group, the recovery of fetal heart rate and fetal prongaosis were obviously higher than that of the control group, significant difference was found (P<0.01). The rate of neonatal asphyxia and delivery operation were obviously lower than the control group.[Conclusion]Iminophylline-dexamethasone method is an effective method in treating fetal distress during the second stage. But the effect is not obvious in treating fetal distress caused by umbilical card oppression.