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目的探讨活跃期人工破膜对产程、产后出血及新生儿评分的影响。方法 100例单胎、头位、初产妇,随机分为人工破膜组和自然破膜组各50例,初产妇平均年龄26岁,孕周38～42周,无妊娠合并症。观察并比较两组产程进展、产后出血、新生儿评分结果。结果人工破膜组活跃期所需时间明显短于自然破膜组(P<0.05);人工破膜组新生儿窒息发生率为0.6,明显低于自然自然破膜组的5.4,差异具有统计学意义(P<0.05)。结论早期人工破膜可加速产程进展,提高自然分娩率,防止羊水粪染,减少新生儿窒息,有利于分娩结局。
Objective To investigate the effect of active rupture of membranes on labor process, postpartum hemorrhage and neonatal score. Methods One hundred fetus, head position and primipara were randomly divided into artificial rupture group and spontaneous rupture group, each with 50 cases. The average age of primipara was 26 years and the gestational age was 38-42 weeks. There was no pregnancy complications. Observe and compare the progress of labor, postpartum hemorrhage, neonatal score results. Results The duration of active phase of artificial rupture membrane was significantly shorter than that of natural rupture membrane group (P <0.05). The incidence of neonatal asphyxia in artificial rupture membrane group was 0.6, which was significantly lower than that of natural rupture membrane group (5.4) Significance (P <0.05). Conclusion Early artificial rupture of membranes can accelerate the progress of labor, improve the rate of natural delivery, prevent meconium amniotic fluid, reduce neonatal asphyxia, is conducive to the delivery outcome.