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医学临床研究  2021, Vol. 38 Issue (6): 866-869    DOI: 10.3969/j.issn.1671-7171.2021.06.017
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产程入量管理应用于无痛分娩中对产妇凝血功能及妊娠结局的影响
杨静, 杨丽*
神木市医院产科,陕西 神木 719300
Effect of Labor Process Input Management in Painless Delivery on Maternal Coagulation Function and Pregnancy Outcome
YANG Jing, YANG Li
Department of Obstetrics, Shenmu City Hospital, Shenmu Shaanxi 719300
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摘要 【目的】探讨产程入量管理应用于无痛分娩中对产妇凝血功能及妊娠结局的影响。【方法】2018年5月至2020年5月在本院分娩的140例产妇作为研究对象,按照随机数表法分为观察组和对照组,每组70例。对照组行常规硬膜外阻滞麻醉并依据产妇意愿进行饮食,观察组在对照组基础上行产程入量管理,比较两组第一产程时间、第二产程时间、第三产程时间、产时出血量、宫缩间隔时间、宫缩持续时间、胎心率、不良妊娠结局发生率及分娩前后感觉评分[分娩控制感量表(LAS)、疼痛视觉模拟评分(VAS)、焦虑视觉模拟评分(VAS-A)]、凝血功能指标[D二聚体(D-D)、凝血酶时间(TT)、纤维蛋白原(FIB)]。【结果】观察组第二产程时间、第三产程时间、产时出血量、宫缩间隔时间显著少于对照组,胎心率显著高于对照组,其差异均有统计学意义(P<0.05)。观察组分娩后VAS-A评分显著低于分娩前及对照组分娩后,其差异有统计学意义(P<0.05)。观察组分娩后FIB显著低于分娩前,且高于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局总发生率为12.86%(9/70),显著低于对照组的24.29%(17/70),其差异有统计学意义(χ2=4.464,P=0.035)。【结论】产程入量管理应用于无痛分娩可明显缩短产妇产程时间,改善凝血功能指标,且减少不良妊娠发生率,值得临床推广应用。
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杨静
杨丽
关键词 分娩镇痛,产科分娩,产道血液凝固妊娠结局    
Abstract:【Objective】To explore the effect of labor process input management in painless delivery on maternal coagulation function and pregnancy outcome.【Methods】 From May 2018 to may 2020,a total of 140 parturients who delivered in our hospital were selected as the research objects and randomly divided into observation group and control group, with 70 cases in each group. The control group received routine epidural anesthesia and diet according to the wishes of the puerpera, while the observation group received input management on the basis of the control group. The time of the first stage of labor, the second stage of labor, the third stage of labor, the amount of bleeding during labor, the interval of uterine contraction, the duration of uterine contraction, fetal heart rate and the incidence of adverse pregnancy outcomes and sensory score before and after delivery (LAS, VAS, VAS-A), coagulation function index (D-D, TT, FIB) were compared between the two groups.【Results】The second stage of labor time, the third stage of labor time, intrapartum blood loss, uterine contraction interval time in the observation group were significantly less than those in the control group, the fetal heart rate was significantly higher than that in the control group, the differences were statistically significant (P<0.05). The VAS-A score of the observation group after delivery was significantly lower than that before delivery and after delivery of the control group, the difference was statistically significant (P<0.05). FIB in the observation group after delivery was significantly lower than that before delivery, and higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of adverse pregnancy outcomes in the observation group was 12.86% (9/70), which was significantly lower than 24.29% (17/70) in the control group (χ2=4.464,P=0.035).【Conclusion】The application of labor process input management in painless delivery can significantly shorten the time of labor process, improve coagulation function index, and reduce the incidence of adverse pregnancy, which is worthy of clinical application.
Key wordsParturition    Analgesia,Obstetrical    Labor, Obstetric    Blood Coagulation    Pregnancy Outcome
收稿日期: 2021-01-13     
中图分类号:  R714.3  
通讯作者: *E-mail:369514001@qq.com   
引用本文:   
杨静, 杨丽. 产程入量管理应用于无痛分娩中对产妇凝血功能及妊娠结局的影响[J]. 医学临床研究, 2021, 38(6): 866-869.
YANG Jing, YANG Li. Effect of Labor Process Input Management in Painless Delivery on Maternal Coagulation Function and Pregnancy Outcome. JOURNAL OF CLINICAL RESEARCH, 2021, 38(6): 866-869.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.06.017     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I6/866
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