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杨康梅.新产程标准管理下第二产程时长对产妇和新生儿结局的影响观察[J].中国医药科学,2020,(1):155-157        基金项目:
新产程标准管理下第二产程时长对产妇和新生儿结局的影响观察
Observation on effects of duration of the second stage of labor on maternal and neonatal outcomes under new labor standard management
  
DOI:
中文关键词:  新产程标准管理;第二产程时长;产妇结局;新生儿结局
英文关键词:New labor standard management;Duration of the second stage of labor;Maternal outcomes;Neonatal outcome
作者单位
杨康梅 广东省吴川市人民医院妇科,广东吴川 524500 
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中文摘要:
      [摘要] 目的 探讨在新产程标准管理下,产妇以及新生儿结局受到第二产程时长的综合性影响。 方法 结合新产程标准管理以及产妇第二产程时长的相关情况,将 2017 年 2 月~ 2018 年 10 月在新产程标准管理下在我院进行生产 200 例初产妇划分为实验组(A 组产程时长:2 ~ 2.5h,B 组产程时长:2.5 ~ 3h,C 组产程时长:3h 以上)与对照组(产程时长:低于 2h)。对上述产妇以及新生儿的结局进行记录与对比分析。 结果 对照组中未见剖宫产患者,而实验组患者中的剖宫产率为 7.3%,差异有统计学意义(P < 0.05)。实验组 B、C 两组的不良反应总发生率均显著高于对照组和实验组 A 组,差异有统计学意义(P < 0.05)。C 组新生儿不良结局发生率与对照组比较差异有统计学意义(P < 0.05)。 结论 在新产程标准管理的前提条件下,第二产程时间越短,则对分娩方式以及母婴结局的影响相对越小。当产程在 2.5 ~ 3h 的区间内时,产妇所受的影响得以提高。而随着产程时间的进一步增加,则新生儿受到的影响开始逐渐提高。
英文摘要:
      [Abstract] Objective To explore the comprehensive effect of duration of the second stage of labor on maternal and neonatal outcomes under the new labor standard management. Methods According to the new labor standard management and duration of the second stage of labor,200 primipara who were under the management of new labor standards in our hospital from February 2017 to October 2018 were divided into the experimental group (duration of labor in group A:2-2.5h,duration of labor in group B:2.5-3h,duration of labor in group C:more than 3h) and the control group (duration of labor: less than 2h).The maternal and neonatal outcomes were recorded,compared and analyzed. Results There was no patients with caesarean section in the control group while the caesarean section rate in the experimental group was 7.3%(P < 0.05).The difference was statistically significant.The total incidence of adverse reactions in group B and group C was significantly higher than that in group A and the control group.The difference was statistically significant (P < 0.05).The incidence of adverse neonatal outcomes in group C was different from that in control group.The difference was statistically significant (P < 0.05). Conclusion Under the management of new labor standards,the shorter the second stage of labor,the smaller the effect on the delivery mode and maternal and neonatal outcomes.When the duration of labor is within the range of 2.5h to 3h,the effect on the mother is increased.With the duration of labor is further increased,the effect on the newborn begins to gradually increase.
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