无痛分娩联合缩宫素及人工破膜对初产妇妊娠结局的影响 .pdf

赫分媛^局的•向

【摘要】目的：探究无痛分娩联合缩宫素及人工破膜在初产妇妊娠中的应价值。方法：以2022年1月一2023

年12月灌南县第一人民医院接收的80例初产妇为研究对象，将其按双盲法分组，即常规组(40例，予以无痛分娩技

术)与观察组(40例，无痛分娩+缩宫素+人工破膜引产)。对比两组妊娠结局，记录各产程时间，观察产后出血量及

新生儿Apgar评分。结果：观察组阴道分娩率为95.00%,高于常规组的80.00%,观察组剖宫产率为5.00%,较常规

组的20.00%低(Pv0.05)；观察组各产程时长及总产程时长较常规组短(Pv0.05)；观察组产后出血量低于常规组，

新生儿Apgar评分高于常规组(Pv0.05)。结论：无痛分娩联合缩宫素及人工破膜能有效提高初产妇阴道分娩率，缩短

产程时长，有助于疼痛强度的进一步控制，减少产后出血，对母婴结局的改善有重要意义。

【关键词】人工破膜；无痛分娩；妊娠结局；初产妇；新生儿Apgar评分

Effectofpainlesseliverycombinewithoxytocinanartificialruptureofmembranesonpregnancyoutcomeof

primipara

TANYingxia

DepartmentofObstetrics,TheFirstPeoplesHospitalofGuannanCounty,Lianyungang,Jiangsu223500,

China

［Abstract］Objective：Toexploretheapplicationvalueofpainlesseliverycombinewithoxytocinanartificial

ruptureofmembranesinthepregnancyofprimipara.Methos：80casesofprimiparaamittetotheFirstPeoples

HospitalofGunanCountyfromJanuary2022toDecember2023wereselecteanivieintotheconventional

group(40caseswithpainlesseliverytechnology)antheobservationgroup(40caseswithpainlesselivery+

oxytocin+artificialruptureofmembranesinuction)accoringtotheouble-blinmetho.Thepregnancyoutcomes

ofthetwogroupswerecompare,thetimeofeachlaborstagewasrecore,anthepostpartumbloolossan

neonatalApgarscorewereobserve.Results：Thevaginaleliveryrateintheobservationgroupwas95.00%,higher

than80.00%intheconventionalgroup,anthecesareansectionrateintheobservationgroupwas5.00%,lower

than20.00%intheconventionalgroup(Pv0.05)；Theeachstageoflaborurationantotallaborurationinthe

observationgroupwereshorterthanthoseintheconventionalgroup(P0.05)；Theamountofpostpartumblooloss

inobservationgroupwaslowerthanthatintheconventionalgro