本文選題：分娩 + 產(chǎn)道��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年15期

【摘要】：目的探討以新產(chǎn)程標(biāo)準(zhǔn)為指導(dǎo)處理產(chǎn)程對(duì)分娩結(jié)局的影響。方法以2015年1—8月于中山大學(xué)附屬第三醫(yī)院實(shí)施新產(chǎn)程標(biāo)準(zhǔn)的709例初產(chǎn)婦為研究組,以2014年1—8月本院實(shí)施傳統(tǒng)產(chǎn)程標(biāo)準(zhǔn)的819例初產(chǎn)婦為對(duì)照組,比較兩組分娩方式、產(chǎn)后出血發(fā)生率、新生兒不良結(jié)局(Apgar評(píng)分異常、臍動(dòng)脈血?dú)鈖 H值7.0、羊水糞染)發(fā)生率、產(chǎn)程時(shí)間;觀察研究組中傳統(tǒng)產(chǎn)程標(biāo)準(zhǔn)診斷為產(chǎn)程曲線異常初產(chǎn)婦的分娩結(jié)局。結(jié)果研究組自然分娩率高于對(duì)照組,剖宮產(chǎn)率低于對(duì)照組(P0.01);兩組產(chǎn)婦產(chǎn)后出血發(fā)生率、1 min Apgar評(píng)分異常發(fā)生率、臍動(dòng)脈血?dú)鈖H值7.0發(fā)生率、羊水糞染發(fā)生率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);兩組5 min Apgar評(píng)分均無(wú)異常;研究組第一產(chǎn)程、第二產(chǎn)程、總產(chǎn)程時(shí)間長(zhǎng)于對(duì)照組(P0.05)。研究組中按傳統(tǒng)產(chǎn)程標(biāo)準(zhǔn)診斷為潛伏期延長(zhǎng)(16 h)、活躍期延長(zhǎng)(8 h)、第二產(chǎn)程延長(zhǎng)(2 h)的初產(chǎn)婦自然分娩率分別為45.8%(11/24)、69.2%(9/13)、84.1%(37/44)。結(jié)論以新產(chǎn)程標(biāo)準(zhǔn)為指導(dǎo)處理產(chǎn)程,能降低剖宮產(chǎn)率,促進(jìn)自然分娩,不增加產(chǎn)后出血、產(chǎn)鉗助產(chǎn)、新生兒不良結(jié)局等風(fēng)險(xiǎn)。
[Abstract]:Objective to explore the influence of labor process on delivery outcome under the guidance of new labor procedure. Methods 709 primiparas who implemented the new labor procedure standard in the third affiliated Hospital of Sun Yat-sen University from January to August 2015 were used as the study group, and 819 primipara women who implemented the traditional labor procedure standard in our hospital from January to August 2014 as the control group. The delivery modes of the two groups were compared. The incidence of postpartum hemorrhage, abnormal Apgar score of neonatal adverse outcome, umbilical artery blood gas pH value 7.0, feces staining of amniotic fluid) and the time of labor were observed. The traditional standard of labor process in the study group was diagnosed as the delivery outcome of primipara with abnormal labor process curve. Results the natural delivery rate in the study group was higher than that in the control group, the cesarean section rate was lower than that in the control group (P 0.01), the incidence of postpartum hemorrhage in the two groups was abnormal in 1 min Apgar score, the incidence of umbilical artery blood gas pH value was 7. 0, and the incidence of amniotic fluid feces staining was higher. There was no significant difference between the two groups in 5 min Apgar scores. The first stage of labor, the second stage of labor and the total duration of labor in the study group were longer than those in the control group (P 0.05). In the study group, the natural delivery rates of primipara diagnosed according to the traditional criteria of labor were prolonged by 16 hours, active period by 8 hours, second stage by 2 hours). The natural delivery rate of primipara was 45.8%, respectively. The rate of natural delivery was 45.8%, respectively. Conclusion under the guidance of the standard of new labor procedure, the cesarean section rate can be reduced, the spontaneous delivery can be promoted, and the risk of postpartum hemorrhage, forceps midwifery and adverse outcome of newborn can not be increased.
【作者單位】： 中山大學(xué)附屬第三醫(yī)院產(chǎn)科;
【分類號(hào)】：R714

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