| 赵 娜,李 娜,蒋小芒,屈小洁,戚玉玲,庞妮妮.新产程标准对产程中临床指征及母婴预后的影响[J].,2017,17(27):5362-5364 |
| 新产程标准对产程中临床指征及母婴预后的影响 |
| Influence of New Labor Standards on the Indications in the Birth Process and the Prognosis of Mothers and Infants |
| 投稿时间：2016-12-02 修订日期：2016-12-30 |
| DOI：10.13241/j.cnki.pmb.2017.27.041 |
| 中文关键词: 新产程标准 剖宫产率 妊娠并发症 妊娠结局 新生儿围产结局 |
| 英文关键词: New labor standards Cesarean delivery rate Pregnancy complications Pregnancy outcome Neonatal-perinatal outcome |
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| 中文摘要: |
| 摘要 目的：探究新产程标准对产程中临床指征及母婴预后的影响。方法：选择2015年1月~2016年1月于我院妇产科分娩的产妇186例，其中101例采用旧产程标准的产妇为对照组，85例采用新产程标准的产妇为观察组。比较两组产妇产程中各项临床指征、产妇妊娠并发症、妊娠结局、新生儿围产结局。结果：观察组剖宫产率、催产素使用例数、产钳助娩干预显著低于对照组(P＜0.05)；观察组产妇第一产程时间、第二产程时间均明显长于对照组(P＜0.05)，两组活跃期时间、生产过程出血量比较差异无统计学意义(P＞0.05)；两组产妇均未发生母婴不良结局事件。观察组和对照组胎膜早破、脐带扭转、羊水过少、产后出血等妊娠并发症的发生率比较差异无统计学意义(P＞0.05)；两组新生儿在体重、宫内窘迫，窒息发生率、转入新生儿重症监护室(NICU)的比例等方面比较差异均无统计学差异(P＞0.05)。结论：新产程标准的应用延长了产程时限，给予产妇充分试产的机会，能够有效降低剖宫产率，减少产时过度干预。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the influence of new labor standards on the indications in the birth process and the prognosis of mothers and infants. Methods: 186 cases treated in our hospital from January, 2015 to January, 2016 were divided into the observation group (85 cases) and the control group (101 cases), the observation group received new labor standards, the control group adopt Friedman labor standards. The clinical indications, pregnant complications, pregnant outcome, neonatal-perinatal outcome were compared between two groups. Results: The cesarean delivery rate, number of using oxytocin, forceps delivery rate of observation group were significantly lower than those of the control group(P＜0.05); the duration time of both first and second stage of labor were obviously longer than those of the control group (P＜0.05); the duration time of active phase, bleeding volume in birth process in both groups showed no statistical difference (P＞0.05); there was no adverse maternal and infant events in both groups; the incidence rate of pregnancy complications, fetal distress in uterus, asphyxia neonatorum and neonatal body weight were of no statistical difference (P＞0.05). Conclusion: The new labor standards prolong the duration time of birth and give women fully trial opportunities, could effectively reduce the rate of cesarean section, reduce the over intervention production. |
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