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我院近年来用阿托品进行宫颈注射,治疗产程中宫颈水肿效果满意。1 临床资料1.1病例:阿托品组:90例均为足月妊娠,初产妇,年龄22～31岁。 对照组为同期足月妊娠初产妇阴道分娩伴宫颈水肿者,96例,年龄21～31岁。1.2方法:宫口扩张≥2cm巳行人工破膜或自然破膜,出现宫颈水肿者,用7号长针抽取阿托品针剂0.5mg,在宫颈水肿点进行注射,再用手托宫颈。继用0.5％～1％催产素静滴。对照组催产素静滴,手托宫颈。观察产程进展。1.3疗效评价:显效:阿托品注射后30min内宫颈水肿消失,宫口渐开大直至分娩。有效:阿托品注射后30min水肿消失,宫口渐开大,但由于其他原因(如相对性头盆不称、胎儿窘迫等)而作剖宫手术。无效:指
In recent years, our hospital with atropine cervical injection, treatment of cervical edema satisfactory results. 1 clinical data 1.1 cases: atropine group: 90 cases were full-term pregnancy, primipara, aged 22 to 31 years. Control group for the same period of full-term pregnancy primiparous vaginal delivery with cervical edema, 96 cases, aged 21 to 31 years. 1.2 Methods: uterine expansion ≥ 2cm Had artificial rupture of membranes or spontaneous rupture of the cervix edema, with a long needle on the 7th atropine injection 0.5mg injection at the cervical edema point injection, and then care of the cervix. Followed by 0.5% to 1% oxytocin intravenous infusion. Control group intravenous oxytocin, care of the cervix. Observe the progress of labor. 1.3 Efficacy Evaluation: Markedly effective: atropine 30min after cervical edema disappeared, cervix gradually widened until childbirth. Effective: 30min after atropine injection edema disappear, cervix gradually open large, but due to other reasons (such as the relative lack of head basin, fetal distress, etc.) for cesarean surgery. Invalid