文章摘要
新产程标准对产程和分娩结局的影响
Clinical analysis of the impact of new labor standards on childbirth and its impact on labor, maternal and neonatal illness
投稿时间:2018-05-23  
DOI:10.3969/j.issn.1000-0399.2018.11.010
中文关键词: 新产程标准  分娩  产程  剖宫产率
英文关键词: New labor standard  Childbirth  Labor  Cesarean delivery rate
基金项目:重庆市卫生计生委医学科研项目(项目编号:2016MSXM128)
作者单位
谌雯丽 408900 重庆市涪陵中心医院妇产科 
秦丰江 408900 重庆市涪陵中心医院妇产科 
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中文摘要:
      目的 分析新产程标准对产程和分娩结局的影响。方法 回顾分析2016年1月至2017年12月在重庆市涪陵中心医院分娩的产妇800例临床资料,根据使用的产程标准将产妇分为观察组和对照组,观察组选取执行新产程标准的产妇400例,对照组选取执行旧产程标准的产妇列400例。观察并比较两组产妇产程(产时潜伏期、第一产程、第二产程、第三产程),产妇并发症情况(产后出血、切口感染、会阴裂伤、产褥病率),剖宫产原因,剖宫产率,以及新生儿情况(胎儿窘迫发生率、新生儿窒息发生率、Apgar评分)。结果 观察组产妇产时潜伏期、第一产程、第二产程均长于对照组,差异有统计学意义(P<0.05),第三产程与对照组比较,差异无统计学意义(P>0.05);观察组产妇产后出血率、产褥病率、剖宫产率均低于对照组,差异有统计学意义(P<0.05),观察组产妇切口感染率、会阴裂伤率与对照组差异无统计学意义(P>0.05);观察组产妇胎儿窘迫、新生儿窒息发生率、Apgar评分与对照组比较,差异无统计学意义(P>0.05)。结论 与旧产程标准相比,新产程标准可放宽产程时限,显著降低剖宫产率,且不会增加产妇和新生儿的患病情况,具有较高的临床应用价值,值得应用推广。
英文摘要:
      Objective To study the impact of new labor standards on childbirth and on maternal, maternal and neonatal illness.s Methods Retrospective analysis of 800 women who gave birth at Fuling Central Hospital from January 2016 to December 2017 were divided into observation group and control group according to the standard of labor used. The observation group selected 400 women who performed new labor standards. The group selected 400 women who performed the old labor standard. Observed and compared the maternal labor process (production latency, first labor, second labor, third labor), maternal complications (postpartum hemorrhage, wound infection, perineal laceration, puerperal morbidity) and the cause of cesarean section and cesarean section rate, neonatal situation (the incidence of fetal distress, the incidence of neonatal asphyxia, Apgar score). Results The latency, first labor, and second stage of labor in the observation group were longer than those in the control group, and the difference was statistically significant (P<0.05). There was no significant difference between the third stage and the control group (P>0.05). The postpartum hemorrhage rate, puerperal morbidity rate, and cesarean section rate were lower than the control group, and the difference was statistically significant (P<0.05). The incidence of incision infection and perineal laceration in the observation group was not statistically significant (P<0.05). P>0.05); There was no statistically significant difference in the incidence of fetal distress, neonatal asphyxia, and Apgar score in the observation group compared with the control group (P>0.05).Conclusion Compared with the old labor standard, the new labor standard can relax the labor time limit, which is more conducive to maternal adaptation, can significantly reduce the cesarean section rate, and will not increase the maternal and neonatal disease, has high clinical application value, and is worth Application promotion.
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