西安交通大学网络学院护理学自考本科论文.docVIP

论文题目：杜-非合剂对子宫不协调收缩的临床效果观察及 学科（专业）：护理专业 申请人： 指导教师： 摘 要 目的：观察杜-非合剂全量肌注对于子宫不协调性收缩的作用。 方法：将320例子宫不协调性收缩的初产妇，随即分为观察组和对照组各160例，观察组肌肉注射杜冷丁100毫克，非那根50毫克，对照组采用常规观察护理。 结果：1、观察组用药后0.5-2小时有123例（占77 %）孕妇入睡，用药2小时内宫缩强度渐减弱，持续时间缩短，宫缩间隙可入睡，2-4小时后宫缩规律，强度增加；有17例（占12%）孕妇宫缩基本消失，安静入睡；20例（占11%）的孕妇用药后1-2小时宫缩规律，但间隔时间长（大于5分钟），需要静滴缩宫素加强宫缩。 2、观察组与对照组相比第一、二产程明显缩短，观察组第一产程平均为454分钟，对照组平均为582分钟，缩短128分钟，观察组第二产程平均为50分钟，对照组平均为78分钟，缩短28分钟，有显著差异（p＜0.05）；观察组第三产程平均为7分钟，对照组平均为8分钟，第三产程无显著差异（p＞0.05）。 3、观察组阴道分娩112例，剖宫产45例，阴道助产3例；对照组阴道 分娩89例，剖宫产67例，阴道助产4例。 结论：杜-非合剂肌注对子宫不协调性收缩有明显作用，可解除产妇因分娩引起的精神紧张和恐惧，使子宫收缩变协调；第一、二产程缩短；剖宫产率下降 【关键词】 杜冷丁； 非那根；镇静药； 子宫不协调收缩 论文类型：应用研究 Title: Clinical Effect Study of dolantin and phenergan to Incoordinated uterine contraction Speciality: Nursing Profession Applicant: Supervisor： ABSTRACT Goal: To observe the effect of the dolantin - phenergan mixture full dose to uterus uncoordinated contraction Method: The award of 320 cases of incoordinated uterine contraction were divided into two groups --a control group of 160 cases,which were give nothing medicine , and the observation group,which were given pethidine 100 mg and morphine 50 mg. Result: 1. Of the observation group, 123 examples (account for 77%) went to sleep 0.5-2 hours later after the intermuscular injection; within 2 hours the uterus constriction weakened gradually, the duration reduced. The womb’s shrink changes the ruler and the intensity increaser in 2-4 hous later. The womb’s shrink has basically vanishing of 17 examples(account for 12%) in them.goes to sleep peacefully;and others 20 examples (account for 11%) uterus shrinkage is ruler in drugs the latter 1-2 hours, but the time between two rules is longs (bigger than 5 minutes), they need to drop oxytocin to strengthen the uterus shrinking. 2.The first and second course of childbirth of the observation group wasshorter than the control group, the observation group first course of childbirth wereequally 454 m