新产程标准及处理的临床应用探讨

发布时间：2018-05-13 00:39

本文选题：母婴结局 + 新产程标准及处理　；参考：《中国妇幼保健》2016年23期

【摘要】：目的探讨新产程标准及处理在产科临床中的应用效果。方法选取2014年1月-2015年11月在该院产科分娩的2 800例孕产妇作为研究对象,根据时间先后顺序分为观察组(1 300例)和对照组(1 500例)。对照组患者采用旧的产程标准及处理方法,观察组采用新产程标准及处理方法,对比两组产妇的分娩方式及母婴结局。结果观察组产妇的剖宫产率、催产素使用率、会阴切开术发生率和顺产转剖宫产率均低于对照组,差异均有统计学意义(P0.05);两组产钳助产率比较,差异无统计学意义(P0.05)。两组新生儿出生1 min的Apgar评分、出生5 min的Apgar评分、产后出血、新生儿窒息、产褥感染发生率与对照组比较,差异均无统计学意义(P0.05)。结论在产科临床中运用新产程标准及处理方法,能有效减少剖宫产和产程干预,并且不会增加分娩并发症的发生,保障母婴安全。
[Abstract]:Objective to explore the clinical application of new labor procedure and management in obstetrics. Methods from January 2014 to November 2015, 2 800 pregnant and parturient women in this hospital were divided into observation group (1 300 cases) and control group (1 500 cases) according to the order of time. The patients in the control group were treated with the old standard and the treatment method, while the patients in the observation group were treated with the standard of the new stage of labor, and the delivery mode and the outcome of the mother and infant were compared between the two groups. Results the cesarean section rate, oxytocin utilization rate, perineal incision rate and the rate of spontaneous cesarean section in the observation group were lower than those in the control group, and the difference was statistically significant (P 0.05), while there was no significant difference between the two groups in the delivery rate of forceps. Compared with the control group, the Apgar score of 1 min, Apgar score of 5 min, postpartum hemorrhage, neonatal asphyxia and puerperal infection in the two groups were not significantly different from those in the control group (P 0.05). Conclusion the application of new labor procedure standard and management method in obstetrics can effectively reduce the intervention of cesarean section and labor process, and not increase the occurrence of childbirth complications, and ensure the safety of mother and child.
【作者单位】：北京美中宜和妇儿医院;
【分类号】：R714

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