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目的 :探讨山莨菪碱联合缩宫素静脉应用对枕横位、枕后位分娩的临床应用效果。方法 :选择自2014年1月~2016年8月在我科住院待产的初产妇200例,按住院号单双随机分为观察组和对照组,观察组产妇分娩过程中联合应用山莨菪碱和缩宫素,对照组产妇不使用山莨菪碱,只给予缩宫素,其余干预措施相同。比较两组产妇的分娩方式、疼痛评级、产程、产后出血量、新生儿5min Apgar评分、会阴裂伤度评分及产褥感染之间的差异。结果 :观察组产妇自然分娩比例、疼痛评级、第一产程、第二产程、总产程、5min Apgar评分均优于对照组;观察组产妇出血量及产后并发症例数虽低于对照组,但差异无统计学意义。结论 :枕横位、枕后位分娩使用山莨菪碱可有效加快产程,提高自然分娩率,减轻产妇疼痛,副作用及并发症少。
Objective: To investigate the clinical effect of anisodamine combined with oxytocin intravenous injection on transverse occiput and occipitocervical delivery. Methods: From January 2014 to August 2016, 200 primipara inpatients in our department were selected and randomly divided into observation group and control group according to the single and double hospital numbers. The observation group was treated with combination of anisodamine and Oxytocin, the control group of mothers do not use anisodamine, only given oxytocin, the remaining interventions the same. The mode of delivery, pain rating, labor process, postpartum hemorrhage, neonatal 5min Apgar score, episcleral laceration score and puerperal infection were compared between the two groups. Results: The proportion of spontaneous labor, pain score, the first stage of labor, the second stage of labor, total labor and 5-minute Apgar scores in the observation group were better than those in the control group. Although the number of maternal bleeding and the number of postpartum complications in the observation group were lower than those in the control group, No statistical significance. Conclusion: The use of anisodamine in delivery of occiput transverse position and posterior occipital position can effectively speed up the labor process, increase the rate of natural childbirth and relieve the pain of maternal side with fewer side effects and complications.