论文部分内容阅读
目的探讨后位宫颈对产时形成宫颈水肿的影响及封闭后早期徒手复位扩宫对预防宫颈水肿的作用。方法选取2003年3月至2005年9月广东省深圳市福田区妇幼保健院收治330例后位宫颈产妇,随机取110例用利多卡因封闭后早期徒手复位扩宫为A组;110例单纯早期徒手复位未扩宫为B组;余未做特殊处理110例为对照C组。另取110例宫颈前或中位的孕妇为D组。结果A组的宫颈水肿、活跃期异常、剖宫产数明显少于B、C组,P<0.05;A组较C组的潜伏期、活跃期和总产程明显缩短,P<0.01;A组复位成功率高于B组,C组的宫颈水肿数明显多于D组,P<0.01。结论后位宫颈对产时形成宫颈水肿具有明显的影响,用利多卡因封闭后早期徒手复位扩宫对宫颈水肿有预防作用,并可缩短产程、降低剖宫产率。
Objective To investigate the effect of posterior cervix on the formation of cervical edema and the effect of early postoperative augmentation on the prevention of cervical edema. Methods From March 2003 to September 2005, Futian District Maternity and Child Care Hospital of Shenzhen City, Guangdong Province, 330 cases of postpartum cervical mothers were enrolled. A total of 110 cases were randomly divided into group A (n = 110) treated with lidocaine. Early free hand reduction without expansion for the B group; I did not do special treatment 110 cases for the control group C. Another 110 cases of pre-cervical or median pregnant women for the D group. Results The cervical edema, active period and cesarean section in group A were significantly less than those in group B and C (P <0.05). The latency, active period and total labor in group A were significantly shorter than those in group C (P <0.01) The success rate was higher than that in group B, and the number of cervical edema in group C was significantly more than that in group D (P <0.01). Conclusions The posterior cervix has a significant effect on the formation of cervical edema during the delivery period. The use of lidocaine for the early postoperative augmentation can prevent cervical edema and shorten the labor process and reduce the rate of cesarean section.