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目的研究地西泮在分娩过程中应用状况及对新生儿的影响。方法将248例经阴道分娩的初产妇随机分为两组,治疗组产妇在分娩过程中给予静脉注射地西泮治疗,与未注射地西泮的对照组进行对比,从新生儿出生后1min阿氏评分、产后出血及产程进展方面观察两组临床情况。结果两组新生儿出生后1min阿氏评分、产后出血和分娩方式均无明显差异(P>0.05),治疗组产妇较对照组从分娩活跃期到宫口开全所需时间明显缩短(P<0.01)。结论分娩过程中对产妇静脉注射地西泮能加快产程进展,加速宫颈口扩张,无产后出血等不良反应,不会对新生儿阿氏评分产生影响。
Objective To study the clinical application of diazepam during delivery and its effect on newborn infants. Methods 248 cases of vaginal delivery of primiparous women were randomly divided into two groups, the treatment group during delivery to give intravenous diazepam treatment, and non-injected diazepam control group were compared from the newborn 1min after birth S score, postpartum hemorrhage and labor progress observed in two groups of clinical conditions. Results There was no significant difference in neonatal 1h post birth rate, postpartum hemorrhage and delivery mode between the two groups (P> 0.05). The time required for maternal treatment from active delivery to cervix opening was significantly shorter in the treatment group than in the control group (P < 0.01). Conclusion Intravenous injection of diazepam during childbirth can accelerate the progress of labor, accelerate the cervical dilatation, no postpartum hemorrhage and other adverse reactions, will not affect the neonatal Aspergillus score.