余金群

DOI：10.16662/j.cnki.1674-0742.2017.07.112

[摘要] 目的 分析间苯三酚联合小剂量缩宫素用于第一产程临床效果。方法 在2015年3月—2016年4月该医院接受分娩的产妇成为该次试验的研究对象，随机选择140例，根据其理方式的差异，将参与试验的产妇分为两个不同的组别，对照组为70例产妇，在分娩时仅使用小剂量的缩宫素进行处理，实验组为70例产妇，在其基础上采取间苯三酚对产妇进行处理，对比两组产妇的临床疗效。结果 通过比较得知，实验组产妇在平均宫口开大指标、第一产程指标以及产后出血量、用药至宫口开平均时间等数据上进行比较，实验组各指标分别为（2.78±0.13）cm/h、（359.3±160.34）min、（120.41±2.45）mL、（3.00±0.24）h，对照组各指标分别为（1.69±0.08）cm/h、（634.4±200.32）min、（138.45±3.56）mL、（4.73±0.30）h，实验组临床疗效存在显著的优势，组间数据差异有统计学意义（P<0.05）。实验组产妇的生产结局明显优于对照组产妇的生产结局，研究组羊水污染率、产钳助产率、剖宫产率分别为7.14%、4.29%、11.43%，对照组分别为10.00%、7.14%、24.29%，两组产妇在生产结局上进行对比，实验组存在显著的优势，组间数据差异有统计学意义（P<0.05）。结论 间苯三酚联合小剂量缩宫素用于第一产程的临床效果比较显著，可明显降低产妇的剖宫率，对其产程进行明显的改善，对其后续的恢复有着积极的意义，具有在临床上广泛推广的价值。

[关键词] 間苯三酚；小剂量缩宫素；第一产程；临床效果

[中图分类号] R714.3 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0112-03

Analysis of Clinical Effect of Phloroglucinol and Small-dose Oxytocin in the First Labor Course

YU Jin-qun

Department of Gynecology and Obstetrics， Qinzhou First Peoples Hospital， Qinzhou， Guangxi， 535000 China

[Abstract] Objective To analyze the clinical effect of phloroglucinol and small-dose oxytocin in the first labor course. Methods 140 cases of patients giving birth in our hospital from March 2015 to April 2016 were selected and randomly divided into two groups with 70 cases in each， the control group adopted the small-dose oxytocin， while the experimental group adopted the phloroglucinol and small-dose oxytocin， and the clinical curative effect was compared between the two groups. Results The comparison showed that the average dilatation of cervix index， first labor course index， postpartum hemorrhage amount and average time from medication to dilatation of cervix in the experimental group and in the control group were respectively[（2.78±0.13）cm/h，（359.3±160.34）min，（120.41±2.45）mL，（3.00±0.24）h and（1.69±0.08）cm/h，（634.4±200.32）min，（138.45±3.56）mL，（4.73±0.30）h]， and the difference in the clinical curative effect had statistical significance（P<0.05）， the rate of amniotic fluid contamination， forceps delivery rate， cesarean section rate in the experimental group were obviously better than those in the control group（7.14%，4.29%，11.43% vs 10.00%，7.14%，24.29%）， and the differences had statistical significance（P<0.05）. Conclusion The clinical effect of phloroglucinol and small-dose oxytocin in the first labor course is obvious， which can obviously reduce the cesarean delivery rate and obviously improve the labor course， which is of positive significance to the following recovery， and it is worth wide promotion in clinic.

[Key words] Phloroglucinol； Small-dose oxytocin； First labor course； Clinical effect

产妇分娩属于一个较为复杂的生理性过程，第一产程指宫缩有规则性开始至宫口出现全开，大约为10 cm左右，初产妇此阶段大约需12 h，经产妇需7 h左右，此阶段属于整个分娩中产程时间最长的。……