郑赣红+赵令睿+吴云根+杜永艳+郑程静子+李红梅
[摘要] 意图 讨论参附注射液在第二产程中的使用作用。办法 挑选2017年1～5月在德兴市中医院住院临产的80例初产妇作为研讨目标，选用随机数字表法分为调查组、对照组，每组40例。调查组于第二产程开端给予5%葡萄糖500 ml+参附注射液40 ml静脉点滴，对照组于第二产程开端给予5%的葡萄糖500 ml静脉点滴。比较两组的第二产程时刻、新生儿1 min Apgar评分及产后出血量。成果 调查组的第二产程时刻短于对照组，新生儿1 min Apgar评分高于对照组，差异有统计学含义（P<0.05）；调查组产妇产时、产后出血量均显着少于对照组，差异有统计学含义（P<0.05）。定论 参附注射液能缩短第二产程，削减产后出血，进步新生儿评分，为中医中药更广泛的临床使用供给依据，为临床医治供给新办法。
[要害词]参附注射液；第二产程；使用作用；Apgar评分；出血量
[中图分类号] R289.3 [文献标识码] A [文章编号] 1674-4721（2017）09（c）-0079-03
[Abstract]Objective To investigate the application effect of Shenfu Injection in the second stage of labor.Methods 80 primiparae with hospital delivery in Traditional Chinese Medicine Hospital of Dexing City from January to May 2017 were selected as the research object，and they were divided into observation group and control group according to random number table method，and there were 40 cases in each group.Observation group was given 5% Glucose 500 ml plusing intravenous drip of Shenfu Injection 40 ml in the second stage of labor，while control group was given intravenous drip of 5% Glucose 500 ml in the second stage of labor.The time of second stage of labor，Apgar 1 min score and postpartum bleeding volume were compared between the two groups.Results The time of second stage of labor in observation group was shorter than that in control group，and Apgar 1 min score was higher than that in control group （P<0.05）.The intrapartum and postpartum bleeding volume of observation group were significantly fewer than those of control group （P<0.05）.Conclusion Shenfu Injection can shorten the second stage of labor，reduce postpartum bleeding and improve Neonatal score.It can provide basis for more extensive application of traditional Chinese medicine and provide new methods for clinical treatment.
[Key words]Shenfu Injection；The second stage of labor；Application effect；Apagr score；Bleeding volume
临产是大部分女人均会阅历的一个生理进程，但许多产妇在临产进程中会发作许多不良事情，尤其是第二产程时，产妇身心均会呈现一系列改动，如呼吸短促、心率加速、肺内气体交流缺乏等，致使子宫缩短乏力，胎先露下降受阻，产程延伸，产妇膂力很多耗费等，子宫缩短乏力易形成產后出血等不良事情的发作，对母婴安全形成极大要挟[1]。第二产程是临产进程中的重要环节，有用缩短第二产程时刻是保证母婴安全、缓解产妇痛苦、改进母婴结局的要害[2]。在实践的妇产科临床中，怎么缓解产妇紧张感与痛苦感、进步天然临产率、缩短产程、削减产后不良事情发作是现在临床急需解决的问题[3-4]。本研讨旨在讨论参附注射液在第二产程中的使用作用，现报导如下。
1材料与办法
1.1 一般材料
挑选2017年1～5月在德兴市中医院住院临产的80例初产妇作为研讨目标，本研讨经我院医学道德委员会同意。依据随机数字表法将患者分为调查组、对照组，每组40例。调查组年纪21～33岁，均匀（26.33±2.51）岁；孕龄37～41周，均匀（39.12±0.78）周；体重50～78 kg，均匀（62.47±5.61）kg。对照组年纪22～32岁，均匀（26.68±2.74）岁；孕龄36～41周，均匀（38.87±0.93）周；体重51～78 kg，均匀（63.05±5.89）kg。两组一般材料比较，差异无统计学含义（P>0.05），具有可比性。endprint
