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.
引文
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