间苯三酚对产程影响的临床观察

【摘要】目的观察间苯三酚对加速产程的影响。方法选取在本院行阴道分娩的妊娠足月初产妇144例，将其随机分为观察组和对照组，每组72例。观察组使用间苯三酚助产，对照组不使用任何药物进行干预。比较两组第一产程和第二产程时间、阴道分娩率、宫口扩张速度、新生儿Apger评分情况及产科并发症等。结果观察组阴道分娩率显著高于对照组，第一产程时间显著短于对照组，宫口扩张平均速度显著高于对照组，新生儿窒息和宫颈水肿的发生率明显低于对照组，差异均有统计学意义（P〈0．05），但两组产妇第二产程时间、产后出血量和新生儿Apger评分差异无统计学意义（P〉0．05）。结论使用间苯三酚能够有效的加速产程进展，且对母婴没有不良影响，值得临床推广使用。

Clinical observation of influence of phloroglucinol on stage of labor

Objective To observe the effects of phloroglucinol injection on accelerating labor progress. Methods One hundred and forty-four healthy primiparas were randomly divided into observation group and control group, each group contains 72 primiparas. The observation group was given phloroglueinol injection but the control group was not given any grug intervention. The labor time, neonatal Apger score and obstetric complications of two groups were compared. Results The vaginal delivery rate of observation group was significantly higher than control group （P 〈 0.05）, the first stage of labor was significantly shorter than control group, miyaguchi expansion speed was significantly higher than control group, the newborn suffocation and cervical edema incidence was significantly lower than control group, the difference were all significant （P 〈 0.05）, but the second stage of labor, postpartum bleeding and neonatal Apger score of two groups were not significantly different （P 〉 0.05）. Conclusion Phloroglucinol injection could effectively acceler- ate progress in labor, and had no bad influence on maternal and child , it is worthy of clinical use. Key words] Phloroglueinol; Labor;Apger score; Newborn