卡波姆产道凝胶在减少初产妇产后尿潴留发生中的效果及安全性观察
Effect and safety of carbomer gel on reducing urinary retention of primiparous women after vaginal delivery
王君林 1李琼珊 1沈端2
作者信息
- 1. 313000 湖州,湖州市妇幼保健院产科
- 2. 313000 湖州,湖州市第一人民医院医疗保健集团妙西院区
- 折叠
摘要
目的 探讨卡波姆产道凝胶在减少产妇经阴道自然分娩产后尿潴留事件发生的效果及安全性.方法 收集139例经阴道自然分娩产妇的临床资料,将自愿使用卡波姆产道凝胶的68例产妇设为研究组,未使用产道凝胶的71例产妇设为对照组.研究组在产妇子宫颈口开大1.0～3.0 cm至新生儿娩出期间,于阴道检查时将卡波姆产道凝胶涂抹于产道.比较2组产妇的一般情况、产程、产程中导尿次数、产时发热、会阴损伤、产后至出院前尿潴留事件发生情况及新生儿阿普加评分.结果 与对照组比较,研究组产妇第一产程的潜伏期及活跃期均有所延长、产程中导尿次数较少、产时发热发生率较低、会阴损伤较轻(P均＜0.05).研究组尿潴留发生率为7％,对照组尿潴留发生率为20％,研究组的尿潴留发生率低于对照组(P＜0.05)o 2组均无发生新生儿窒息,新生儿1、5 min阿普加评分比较差异均无统计学意义(P均＞0.05).结论 在产程中使用卡波姆产道凝胶可润滑产道,增加软产道组织延展性,有利于胎头下降及保护会阴,缩短第一产程,降低尿潴留事件的发生率,且对新生儿无明显不良影响.
Abstract
Objective To evaluate the effect and safety of carbomer gel on reducing urinary retention of primiparous women after natural vaginal delivery.Methods Clinical data of 139 women with natural vaginal delivery were collected.Among them,68 cases who voluntarily participated in carbomer gel test were assigned in the study group,and 71 counterparts without use of carbomer gel were allocated in the observation group.In the study group,carbomer gel was applied on the birth canal in vaginal examination from the opening of cervix at 1.0-3.0 cm to the delivery of newborns.Baseline data,labor process,number of catheterization during labor,intrapartum fever,perineal injury,incidence of urinary retention from postpartum to discharge and Apgar score of the newborns were compared between two groups.Results Compared with the control group,the latency and active periods of the first stage of labor in the study group were prolonged,the number of catheterization during labor was less,the incidence of intrapartum fever was lower,and the perineal injury was slighter(all P＜0.05).The incidence of urinary retention in the study group was 7.35％,significantly lower than 20％in the control group(P＜0.05).No neonatal asphyxia occurred in two groups.There were no significant differences in Apgar score at 1 minute and 5 minutes after birth(both P＞0.05).Conclusion Application of carbomer gel in the birth canal can lubricate the birth canal,increase the ductility of soft birth canal,promote fetal head descent,protect the perineum,shorten the first stage of labor,reduce the incidence of urinary retention,and cause no adverse effects on newborns.
关键词
产道凝胶/卡波姆/分娩/产后尿潴留/新生儿/阿普加评分Key words
Carbomer gel/Carbome/Delivery/Postpartum urinary retention/Neonatal/Apgar score引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据