宫颈封闭治疗产程中宫颈水肿疗效分析.pdfVIP

· 160· · 全科医生技能发展 · 宰 宫颈封闭治疗产程中宫颈水肿疗效分析 高 珊，刘 杰，刘 颖 【摘要】 目的 探讨复方盐酸利多卡因与阿托品宫颈封闭治疗产程中宫颈水肿的疗效和安全性。方法 将68例 产程中发生宫颈水肿的产妇随机分为研究组38例和对照组30例。研究组于宫颈水肿部位多点注射，对照组常规观察 产程。对产妇的宫颈水肿消退情况、宫颈口扩张情况、分娩方式、宫颈裂伤、产后出血及新生儿窒息等情况进行对比 分析。结果 研究组与对照组的宫颈水肿消退有效率、宫颈口扩张速度、阴道分娩率间差异均有统计学意义 (P 0．05)；两组的宫颈裂伤率、产后出血率及新生儿窒息率间差异均无统计学意义 (P0．05)。结论 复方盐酸利多卡 因与阿托品宫颈封闭治疗对消除产程中宫颈水肿效果确切、方法简单、无明显不良反应，值得推广。 【关键词】 封闭疗法；宫颈疾病；分娩过程 【中图分类号】R 714，42 【文献标识码】B 【文章编号】1007—9572(2008)lB一0160—02 Analysis of the Curative Effect of Cervix Edema during Labor Treated by Cervix Blockade GAO Shan，LIU Jie，LIU ． Department ofGynaecology and obstetrics，China—Japan Friendship Hospital，BeOing100029，China 【Abstract】 Objective To observe the curative effect and security of using complex lidocaine and atropine to treat cer- vix edema during labor by cervix blockage．Methods 68 cases with cervix edema during labor were randomly divided into the research group(38 cases)and the control group(30 cases)．Multipoint injection was applied to the location of edema in the re— search group，while in the control group，the laboring process was observed with the normal method．The regression time of cer- vix edema，stretching condition of the cervix mouth，deliver mode，cervical laceration，postpartum hemorrhage，and neonatal asphyxia in each group were observed and analyzed．Results There were significant differences between the two groups in cervix edema regression efficiency，cervical mouth dilation speed and vaginal delivery rate(P0．05)；and there was no significant differences between the two groups in cervical laceration rate，poster—operative hemorrhage rate and neonatal asphyxia rate(P 0．05 ．Conclusion It is an effective method for treating cervix edema to block cervix with complex lidocaine and atropine during labor．This method