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作者就1982～1983年。使用人工扩张宫颈加用催产素静脉点滴200例,主要为第一产程头位停滞,年龄23～38岁,孕周37～45周。1.方法:常规清洁消毒阴道、外阴后,检查骨盆正常,用食、中二指扩张宫颈2～3周,人工破膜,以胎头做指示点,为宫颈3、6、9、12四个方位,上托宫颈,检查者手肘关节固定产床,另一手压迫宫底,在宫缩时令产妇向下用力,阴道手上推宫颈,利用作用力与反作用力,反复扩张,上托宫颈几次,则明显感到宫颈松弛开大。对宫颈水肿者,在行扩张时,上托宫颈之前用0.5%普鲁卡因20ml,阿托品1mg在3、6、9、12四个方位各封闭5ml。待20分钟后,再行扩张,托宫颈方法同上。2.结果:(1)年龄与失败的关系:
Author 1982 ~ 1983. The use of artificial expansion of cervix plus oxytocin intravenous drip 200 cases, mainly for the first stage of labor stagnation, aged 23 to 38 years old, gestational age 37 to 45 weeks. 1. Methods: routine cleaning and disinfection of the vagina, vulva, check the pelvic normal, with food, the second finger to expand the cervix 2 to 3 weeks, artificial rupture of membranes to the fetal head to do the instructions point for the cervix 3,6,9,12 four A position, on the care of the cervix, the examiner elbow joint fixed bed, the other hand oppression Palace, the contractions so that the maternal force downward, pushing the vagina on the cervix, the use of force and reaction, repeated expansion, on the care of the cervix A few times, you obviously feel a big open cervical relaxation. Cervical edema, expansion in the line, on the care of the cervix with 0.5% procaine 20ml, atropine 1mg in 3,6,9,12 four positions closed 5ml. After 20 minutes, re-expansion, cervical care method Ibid. 2. Results: (1) Relationship between age and failure: