首页|第一产程应用地西泮对产妇情绪、宫颈扩张以及分娩结局的干预效果

第一产程应用地西泮对产妇情绪、宫颈扩张以及分娩结局的干预效果

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目的 探讨地西泮注射液应用于产妇第一产程对其宫颈扩张程度、分娩结局和负性情绪方面的影响.方法 回顾性选取120例于恩泽妇产医院分娩的产妇列为研究样本,选取在第一产程采用地西泮,具有宫颈扩张条件较差、负性情绪较重的产妇60例为观察组,另选取未采用任何药物辅助分娩,只采取基础劝慰等干预,临床症状与观察组较为相似的60例产妇归为对照组.比较2组干预后对产妇情绪、分娩结局和宫颈扩张程度的影响.结果 干预1h、12h、24h后,观察组焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分均比对照组显著降低,差异有统计学意义(P<0.05);观察组Bishop宫颈成熟度相关维度宫口开大、宫颈软硬、宫口位置、宫颈管消失和胎先露均显著高于对照组,差异有统计学意义(P<0.05);观察组自然分娩率(83.33%)显著高于对照组(56.67%),差异有统计学意义(P<0.05),不良分娩结局率(11.67%)和对照组(10.00%)差异无统计学意义.结论 在产妇第一产程使用地西泮注射液可有效改善产妇宫颈整体成熟度,缓解产妇抑郁、焦虑等负性心理,且药物安全性较高,对其分娩结局无明显不良作用.
Effect of diazepam on maternal mood, cervical dilatation and childbirth outcome in the first stage of labor
Objective To investigate the effect of diazepam injection on the degree of cervical dilatation, delivery outcome and negative emotion in the first stage of labor. Methods Retrospective study of 120 cases of maternal birth in our hospital as a study sample. Diazepam was used in the first stage of labor, and 60 cases of women with worse cervical dilatation and negative mood were selected as observation group, the other selected not to use any drug-assisted childbirth, only to take the basis of comfort and other interventions, the clinical symptoms and observation group were similar to 60 cases of maternal were classified as control group. The effects of the two groups intervention on maternal mood, delivery outcome and cervical dilatation were compared. Results The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group were significantly lower than those of the control group at 1h, 12h and 24h after treatment, the difference was statistically significant (P<0.05). Observation group Bishop cervix related degree of cervical dilatation, cervical soft and hard, cervix position, cervical canal disappearance and fetal exposure were significantly higher than those of the control group, the difference was statistically significant (P<0.05). The rate of spontaneous delivery in the observation group (83.33%) was significantly higher than that the control group (56.67%), the difference was statistically significant (P<0.05). There were no statistical differences in the rate of adverse childbirth in the observation group (11.67%) and the control group (10.00%). Conclusion The use of diazepam injection in the first stage of labor can effectively improve the overall maturity of maternal cervix, relieve maternal depression, anxiety and other negative psychological, and drug safety is high, and there was no significant adverse effect on the outcome of their childbirth.

the first stage of labordiazepamcervical dilatationchildbirth outcome

郑丹、连雪英、王晓君

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台州恩泽医疗中心(集团)浙江省台州医院附属妇产医院 住院部,浙江 台州 318000

台州恩泽医疗中心(集团)恩泽妇产医院 住院部,浙江 台州 318000

第一产程 地西泮 宫颈扩张 分娩结局

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(1)
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