催产素引产过程中联合体位管理对产程进展和分娩结局的影响

摘要

Objective:To explore the influence on labor progress and delivery outcome of position management during induction of labor by Oxytocin.Method:From January to December 2017, 150 parturients who met the indications of oxytocin induced labor in our hospital were selected as the study subjects.They were randomly divided into observation group and control group, 75 cases in each group.The control group was given intravenous injection of Oxytocin to induce labor, while the observation group was given intravenous injection of Oxytocin to induce labor with postural management.The progress of labor, postpartum hemorrhage of 2 h, the degree of labor pain, the mode of delivery and the outcome of labor were observed in two groups.Result:The first stage of labor, the second stage of labor and the third stage of labor in the observation group were shorter than those in the control group, and the differences were statistically significant (P＜0.05).The incidence of neonatal asphyxia and fetal distress in the observation group were lower than those in the control group, and the Apgar score was higher than that in the control group, the differences were statistically significant (P＜0.05).The incidence of laceration above grade Ⅱ of perineum and postpartum urinary retention in the observation group were lower than those in the control group (P＜0.05).The VAS, VRS and PPI scores of the observation group were lower than those of the control group (P＜0.05).Conclusion:Oxytocin assisted with postural management during induction of labor can shorten the delivery process, reduce postpartum hemorrhage, cesarean section rate and labor pain, and improve the delivery outcome.%目的:探讨催产素引产过程中联合体位管理对产程进展和分娩结局的影响.方法:选择2017年1-12月本院产科住院期间符合催产素引产指征的产妇150例作为研究对象, 按照随机数字表法分为观察组和对照组, 各75例.对照组产妇给予静脉滴注催产素引产, 观察组产妇静脉滴注催产素引产的同时辅以体位管理.观察两组产程进展、产后2 h出血情况、产痛程度、分娩方式及分娩结局.结果:观察组产妇第一产程、第二产程及第三产程时间均较对照组产妇短, 差异均有统计学意义 (P＜0.05) ;观察组产后2 h出血量较对照组少, 差异有统计学意义 (P＜0.05) ;观察组产妇顺产率为89.33％明显高于对照组的45.33％, 而剖宫产率为8.00％显著低于对照组的48.00％, 差异均有统计学意义 (P＜0.05) ;观察组新生儿窒息、胎儿窘迫的发生率均较对照组低, 而新生儿Apgar评分较对照组高, 同时观察组产妇会阴Ⅱ度以上裂伤及产后尿潴留的发生率均较对照组低, 差异均有统计学意义 (P＜0.05) ;观察组产妇VAS、VRS及PPI评分均较对照组低, 差异均有统计学意义 (P＜0.05) .结论:催产素引产过程中辅以体位管理有助于缩短分娩产程, 减少产后出血量, 同时降低剖宫产率和降低产痛程度, 并改善分娩结局.