李强　孟庆瑞

【摘要】 目的：观察普鲁卡因加654-2宫颈封闭治疗宫颈水肿对产程的影响。方法：选取产程活跃期中发生宫颈水肿患者216例，随机分为治疗组与对照组，各108例。对照组采取抬高产妇臀部，减轻胎头对宫颈压力及对症处理；治疗组给予普鲁卡因加654-2宫颈水肿多部位注射。结果：治疗组有效率、成功率和剖宫产率均优于对照组，差异均有统计学意义（字2=3.149、5.125、4.857，P<0.05）。两组产后出血及新生儿死亡率比较，差异均无统计学意义（P>0.05）。结论：普鲁卡因加654-2宫颈封闭能消除水肿，降低剖宫产率，且对母婴无不良影响。

【关键词】 普鲁卡因； 654-2； 宫颈水肿； 宫颈封闭； 疗效

doi：10.14033/j.cnki.cfmr.2018.4.014 文献标识码 B 文章编号 1674-6805（2018）04-0029-02

Effect of Procaine Combined 654-2 Cervical Sealing Therapy on Cervical Edema in Labor Process/LI Qiang，MENG Qingrui.//Chinese and Foreign Medical Research，2018，16（4）：29-30

【Abstract】 Objective：To observe the effect of procaine combined with 654-2 cervical sealing therapy on cervical edema in labor process.Method：A total of 216 cases with cervical edema during the active stage of labor were randomly divided into treatment group and control group，108 cases in each group.The control group took up the maternal fetal head on the buttocks，relieved cervical pressure and symptomatic treatment；the treatment group was treated with procaine and 654-2 cervical edema at the site of injection.Result：The efficiency rate，the rate of success and the rate of cesarean section in the treatment group were all better than those in the control group，the differences were statistically significant（字2=3.149，5.125，4.857，P<0.05）.Compared the postpartum hemorrhage and neonatal mortality，the difference had no statistic significant（P>0.05）.Conclusion：Procaine plus 654-2 cervical closed not only can eliminate edema，eliminate edema，reduce the rate of caesarean section，and have no adverse effects on mother and baby.

【Key words】 Procaine； 654-2； Cervical edema； Cervical sealing； Curative effect；

First-authors address：Caoxian County Peoples Hospital，Cao County 274400，China

宮颈水肿是产妇在产程进入活跃期后比较严重的软产道异常，如不及时处理，可导致难产及一系列并发症[1]。若能早期发现并及时处理，对减少母婴围生期并发症极为重要[2]。笔者所在医院2014年2月-2017年6月对在产程进展中发生宫颈水肿的216例产妇采用普鲁卡因加654-2宫颈封闭的治疗方法，对消除水肿、软化宫颈起到较好的治疗作用，收到满意临床效果，现报道如下。

1 资料与方法

1.1 一般资料

笔者所在医院2014年2月-2017年6月在产程活跃期中（宫口扩张3～8 cm时）发生宫颈水肿216例（均无明显头盆不称情况），占同期分娩总数的3.2%。宫颈水肿诊断均符合以下标准：（1）确定宫颈水肿为前唇、后唇抑或整个宫颈。宫颈水肿多发生在第一产程，内诊检查可触到宫颈肿胀，变厚、变硬、伸展性减低，直视可呈紫黑色，则为宫颈水肿。将宫颈分为前、后、左、右、侧唇，如宫颈水肿仅发生于单侧唇为轻度，如两侧唇同时为中度，如出现三侧唇以上水肿为重度。……