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目的研究地西泮、利多卡因、山莨菪碱针对第一产程的影响。方法设观察组与对照组。观察组在第一产程时适时使用地西泮、利多卡因、山莨菪碱针,对照组不用任何药物。结果观察组在第一产程活跃期宫口扩张时间,经阴道分娩成功率明显优于对照组(P<0.05),两组在新生儿窒息率、产后出血、第二产程及第三产程无明显差异(P>0.05)。结论经阴道试产时合理应用地西泮、利多卡因、山莨菪碱针可有效减少第一产程时间,促进经阴道试产成功率,降低剖宫产率有明显积极作用。
Objective To study the effects of diazepam, lidocaine and anisodamine on the first stage of labor. Methods Observation and control groups were set up. Observation group in the first stage of labor timely use of diazepam, lidocaine, anisodamine needle, the control group without any drugs. Results The success rate of vaginal delivery during the active period of the first stage of labor in the observation group was significantly better than that of the control group (P <0.05). There was no significant difference between the two groups in neonatal asphyxia, postpartum hemorrhage, second and third stage of labor Difference (P> 0.05). Conclusion The rational use of diazepam, lidocaine and anisodamine needle during vaginal trial can effectively reduce the time of first stage of labor, promote the success rate of vaginal trial, and reduce the rate of cesarean section.