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目的:观察潜伏期应用哌替啶对产程及新生儿的影响。方法:将220例初产妇随机分为观察组和对照组各110例,观察组在宫口开大1~2cm时肌肉注射哌替啶75mg,对照组未用药。结果:观察组第一产程明显缩短,与对照组相比差异有统计学意义(P<0.05);第二、三产程差异无统计学意义(P>0.05);对新生儿、产后2 h内出血量的影响两组差异无统计学意义(P>0.05)。结论:潜伏期应用哌替啶可减轻产妇疼痛,缩短第一产程,不增加新生儿窒息,值得推广应用。
Objective: To observe the effect of pethidine on labor and newborn during the incubation period. Methods: 220 cases of primiparous women were randomly divided into observation group and control group, 110 cases in each group. The observation group was intramuscular injection of pethidine 75 mg at 1 ~ 2 cm of cervix. The control group was given no medication. Results: The length of the first stage of labor in the observation group was significantly shorter than that in the control group (P <0.05), and there was no significant difference between the second and third stage of labor (P> 0.05) There was no significant difference between the two groups (P> 0.05). Conclusion: The use of pethidine in the incubation period can reduce the pain of maternal, shorten the first stage of labor, do not increase neonatal asphyxia, it is worth popularizing and applying.