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目的探讨产程中排尿困难的主要原因。方法选择2015年10月1日至31日在扬州市妇幼保健院自然分娩的204例产妇,分娩过程中导尿组70例,未导尿组134例,两组年龄、孕周、产次、产程、新生儿体重,分娩镇痛、缩宫素使用进行比较,同时产后出血量、产后抗生素、产褥病率进性行比较。结果导尿与分娩镇痛、产程、孕周、产次均有高度统计学意义(P<0.01),产后抗生素使用显著性增高(P<0.05),由于抗生素的使用产褥病率无显著增高(P>0.05);与年龄、新生儿体重、缩宫素应用无显著关系(P>0.05),导尿组未增加产后出血量。结论重视产程中排尿困难,调整分娩镇痛的药物、剂量及浓度,正确处理产程适时应用缩宫素,加强护理,改善产程中排尿困难。
Objective To investigate the main causes of dysuria during labor. Methods A total of 204 cases of spontaneous delivery in Yangzhou Maternal and Child Health Hospital from October 1, 2015 to January 31, 70 cases of catheterization during labor and 134 cases of non-catheterization were included. The age, gestational age, Birth weight, labor analgesia, oxytocin use comparison, at the same time, the amount of postpartum hemorrhage, postpartum antibiotics, the rate of puerperal morbidity compared. Results The urinary catheter and labor analgesia, labor course, gestational weeks and delivery times were highly statistically significant (P <0.01), and the use of antibiotics in postpartum was significantly increased (P <0.05). The use of antibiotics did not significantly increase the rate of puerpera (P0.05) .No significant correlation was found between age, weight of newborns and oxytocin (P> 0.05). The amount of postpartum hemorrhage was not increased in the catheterization group. Conclusions Emphasis is placed on dysuria during labor and medication, dosage and concentration of labor analgesia are adjusted. Oxytocin is applied in the proper course of labor and nursing care is given to improve the urination difficulty in labor.