间苯三酚在产程活跃期伴宫颈水肿应用的影响

目的探讨间苯三酚在产程活跃期伴宫颈水肿应用的影响。方法选择足月单胎头先露的初产妇,无妊娠合并症和胎位异常,于活跃期宫口开大3~4cm,伴宫颈水肿、坚韧、宫口扩张延缓90例,随机分为观察组和对照组各45例,观察组:间苯三酚40mg宫颈注射+40mg静脉注射,对照组:地西泮10mg静脉注射,观察两组对产程变化及母儿影响。结果两组于用药后至宫口开全时间,用药4h宫口扩张及宫颈水肿消退比较,两组差异有统计学意义(P<0.01),而两组产后出血量,分娩方式及新生儿Apgar评分差异无统计学意义(P>0.05)。结论间苯三酚能显著加速宫口扩张,缩短产程,对母儿无不良影响。

The Effects of Application Phloroglucinol on the Active Phase of Delivery with Cervix Edema

Objective To study the effects of applying phloroglucinol on the active phase of delivery with cervix edema.Methods Chose 90 cases of primipara with termed pregnancy,cephalic presentations,no complication of pregnancy or abnormal fetal positions,cervix opened 3-4cm in the active phase,accompanied with cervix edema,stiffness and cervical dilatation,and randomly divided into observing group and contrast group with 45 cases each.For the observing group,served with 40mg phloroglucinol cervical injection and 40mg intravenous injection;for the contrast group,served with 10mg diazepam intravenous injection,observed the delivery process and effects on the pregnant and infant.Results The time from receiving the medicine to the cervix opened fully,compared the cervical dilatation applied medicine 4 hours and cervix edema,the difference between the two groups was of statistic significance（P0.01）;while the difference in the amount of postpartum hemorrhage,delivery methods and Apgar grading of newborn was of no statistic significance（P0.05）.Conclusion Phloroglucinol can significantly speed up the cervical dilatation and shorten delivery course,and it has no bad effect on the pregnant and infant.