利多卡因联合阿托品治疗分娩时宫颈水肿102例研究

目的探讨利多卡因联合阿托品治疗分娩时宫颈水肿的效果。方法将2010年5月至2013年4月在我院进行阴道试产时发生宫颈水肿的初产妇102例纳入实验组,采用利多卡因联合阿托品宫颈多点注射。以同期采用传统静脉注射地西泮治疗者100例作为对照组。对比两组在宫口全开时间、转剖宫产率、新生儿Apgar评分等方面的差异性。结果与对照组对比,我们发现实验组宫口全开时间较短,转剖宫产率较低,组间差异经统计学分析后认为有意义(P<0.05)。对比两组新生儿Apgar评分发现,组间差异统计学分析后认为无意义(P>0.05)。结论采用利多卡因联合阿托品治疗分娩时宫颈水肿具有满意的疗效,有助于缩短产程时间,增加阴道试产成功率,今后可将其作为阴道试产时宫颈水肿治疗的有效方案进行推广应用。

Lidocaine and Atropine in the Treatment of 102 Cases of Delivery of Cervical Edema

Objective Investigate lidocaine and atropine in the treatment of intrapartum cervix edema effect. Methods Choose 102 cases as experimental group, using lidocaine and atropine cervical multi point injection. Choose 100 cases as control group, injection of diazepam. Compared two groups in the palace mouth open time, turn the cesarean section rate, neonatal Apgar score etc. Results Compared with control group, experimental group palace mouth open for a short time, turn the cesarean section rate is low, differences had significant（P〈0.05）. Compared Apgar score, differences had no significance（P〈0.05）. Conclusion Lidocaine and atropine in the treatment of intrapartum cervix edema has satisfactory curative effect, help to shorten labor time, increase the success rate of vaginal delivery, can be applied effectively for treatment of vaginal cervical edema in the future.