第三产程中催产素联合气囊腹压带预防分娩镇痛产妇产后出血的效果观察
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摘要
目的:观察第三产程中催产素联合气囊腹压带预防分娩镇痛产妇产后出血的效果。方法:按随机数表法将98例行无痛分娩的足月单胎头位初产妇分为第三产程中催产素联合气囊腹压带组(观察组49例)和第三产程中催产素组(对照组49例)。比较两组产妇第三产程、胎盘娩出时及产后2h时出血量,记录第三产程及总产程时间,新生儿出生1min、5min时Apgar评分,产妇产后2h时脉搏(次/min)、收缩压(SBP)、舒张压(DBP)情况。结果:观察组第三产程、胎盘娩出时及产后2h时出血量,第三产程及总产程时间均小于对照组(P<0.05)。两组新生儿出生1min、5min时Apgar评分,产妇产后2h时脉搏、SBP、DBP比较均无差异(P>0.05)。结论:第三产程中催产素联合气囊腹压带可显著减少分娩镇痛产妇产后出血,缩短第三产程和总产程,且不影响新生儿出生时健康状况和产妇生命体征,安全性良好。
Objective: To observe the effects of oxytocin combined with balloon abdominal pressure belt for preventing postpartum hemorrhage of women with labor analgesia during the third stage of labor. Methods: 98 women of full-term primiparas with singleton and cephalic presentation who undergone labor analgesia were divided into study group and control group according to the random number table method(49 cases in each group). The women in study group were treated by oxytocin combined with balloon abdominal pressure belt during the third stage of labor, and the women in control group were treated by oxytocin during the third stage of labor in the third stage of labor. The bleeding volume of women was compared between the two groups during the third stage of labor, at placenta delivery, or at 2 h after delivery. The total labor time, the neonatal Apgar score at 1 min and 5 min, and the pulse(times/min), systolic blood pressure(SBP) and diastolic blood pressure(DBP) of women at 2 h after delivery were recorded. Results: The bleeding volume of women in study group during the third stage of labor, at placenta delivery, or at 2 h after delivery was significant lower than that of women in control group. The time of the third stage of labor or total labor of women in study group was significant less than that of women in control group(P<0.05). There were no significant difference in the neonatal Apgar score at 1 min and 5 min, and pulse, SBP, and DBP of women at 2 h after delivery between the two groups(P>0.05). Conclusion: Oxytocin combined with balloon abdominal pressure belt for treating women during the third stage of labor can significantly reduce the postpartum hemorrhage of puerperas with labor analgesia, and shorten the time of the third stage of labor and total labor, and it will not affect the neonatal.
Objective: To observe the effects of oxytocin combined with balloon abdominal pressure belt for preventing postpartum hemorrhage of women with labor analgesia during the third stage of labor. Methods: 98 women of full-term primiparas with singleton and cephalic presentation who undergone labor analgesia were divided into study group and control group according to the random number table method(49 cases in each group). The women in study group were treated by oxytocin combined with balloon abdominal pressure belt during the third stage of labor, and the women in control group were treated by oxytocin during the third stage of labor in the third stage of labor. The bleeding volume of women was compared between the two groups during the third stage of labor, at placenta delivery, or at 2 h after delivery. The total labor time, the neonatal Apgar score at 1 min and 5 min, and the pulse(times/min), systolic blood pressure(SBP) and diastolic blood pressure(DBP) of women at 2 h after delivery were recorded. Results: The bleeding volume of women in study group during the third stage of labor, at placenta delivery, or at 2 h after delivery was significant lower than that of women in control group. The time of the third stage of labor or total labor of women in study group was significant less than that of women in control group(P<0.05). There were no significant difference in the neonatal Apgar score at 1 min and 5 min, and pulse, SBP, and DBP of women at 2 h after delivery between the two groups(P>0.05). Conclusion: Oxytocin combined with balloon abdominal pressure belt for treating women during the third stage of labor can significantly reduce the postpartum hemorrhage of puerperas with labor analgesia, and shorten the time of the third stage of labor and total labor, and it will not affect the neonatal.
引文
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[9] 赵少飞,温济英,牛建民,等.多功能气囊腹压带助产仪助产及预防产后出血应用研究[J].中国实用妇科与产科杂志,2015,31(4):357-360.
[10] Zhao S, Wen J, Niu J, et al. The clinical research into the application of multifunctional airbag abdominal pressure belt in midwifery and in the prevention of postpartum hemorrhage[J]. J Matern Fetal Neonatal Med.2018,31(1):128-134.
[11] 陈步云,李佳梅,邹文霞,等.第3产程使用多功能气囊腹压带助产仪预防产后出血的效果观察[J].护理学报,2015(11):57-58.
[12] 周立平,罗曼云,肖金红,等.气囊腹压带预防分娩镇痛产妇产后出血的临床研究[J].中华围产医学杂志,2017,20(4):287-289.
[13] 姜颖,丁海燕,王艳军,杨智超,李杰,张春苗.多功能气囊腹压带助产仪在经阴道分娩中的应用分析[J].中国妇幼保健,2018,33(13):3099-3101.
[2] 沈晓凤,姚尚龙.分娩镇痛专家共识(2016版)[J].临床麻醉学杂志,2016,32(8):816-818.
[3] 谢清.催产素联合间苯三酚与导乐分娩镇痛仪在足月妊娠引产中的临床分析[J].系统医学,2017,2(5):115-118.
[4] 洪彩香,马钦玲,刘晨霞,等.人工气囊腹压带对足月初产妇阴道分娩后出血的影响[J].中国妇幼健康研究,2017,28(11):1451-1453.
[5] 宗银东,聂颖,姜义铁,等.罗哌卡因硬膜外患者自控镇痛的无痛分娩效果及应激反应的临床研究[J].重庆医学,2016,45(17):2407-2409.
[6] Dupont C, Carayol M, Le Ray C, et al. Oxytocin administration during spontaneous labour: Guidelines for clinical practice. Guidelines short text[J]. Gynecol Obstet Fertil Senol.2017,45(1):56-61.
[7] 陈红月,谭淑卓,彭宪钗,等.两种剂型缩宫素用于第三产程预防产后出血的效果观察[J].中国妇幼保健,2015,30(31):5487-5488.
[8] 严梅,曾丽,陈莉.益母草注射液联合缩宫素治疗产后出血病症的临床效果[J].实用临床医药杂志,2017,21(1):172-173.
[9] 赵少飞,温济英,牛建民,等.多功能气囊腹压带助产仪助产及预防产后出血应用研究[J].中国实用妇科与产科杂志,2015,31(4):357-360.
[10] Zhao S, Wen J, Niu J, et al. The clinical research into the application of multifunctional airbag abdominal pressure belt in midwifery and in the prevention of postpartum hemorrhage[J]. J Matern Fetal Neonatal Med.2018,31(1):128-134.
[11] 陈步云,李佳梅,邹文霞,等.第3产程使用多功能气囊腹压带助产仪预防产后出血的效果观察[J].护理学报,2015(11):57-58.
[12] 周立平,罗曼云,肖金红,等.气囊腹压带预防分娩镇痛产妇产后出血的临床研究[J].中华围产医学杂志,2017,20(4):287-289.
[13] 姜颖,丁海燕,王艳军,杨智超,李杰,张春苗.多功能气囊腹压带助产仪在经阴道分娩中的应用分析[J].中国妇幼保健,2018,33(13):3099-3101.