产程中入量管理对分娩结局的影响(1)
[摘要]目的 评估在产程中进行入量管理对分娩结局产生的影响。方法 选取2018年2～7月在我院分娩的150例单胎足月顺产初产妇作为研究对象，按照自愿原则将其分为口服组、静脉组与对照组，每组各50例。口服组产妇产程中(宫口开大4 cm后)口服“美孕嘉寶”分娩能量包，静脉组产妇产程中(宫口开大4 cm后)静脉交替补充生理盐水和5%葡萄糖液，对照组产妇产程中(宫口开大4 cm后)不额外口服及静脉补充能量，但不禁水。比较三组产妇的第二、第三产程时间、总产程时间、产后出血量、新生儿评分及产前、产后的血钠变化情况。结果 口服组产妇的第二、第三产程时间及总产程时间均短于静脉组、对照组，静脉组产妇的第二、第三产程时间及总产程时间均短于对照组，差异有统计学意义(P<0.05)。三组产妇产前及产后的血钠水平比较，差异无统计学意义(P>0.05)。口服组及静脉组产妇的产后2 h出血量均少于对照组，差异有统计学意义(P<0.05);口服组与静脉组产妇的产后2 h出血量比较，差异无统计学意义(P>0.05);三组的新生儿评分比较，差异无统计学意义(P>0.05)。结论 产妇于产程中进行入量管理(口服及静脉方式)，能达到加快产程、减少产后出血量的目的，不影响产妇血钠值的变化，对新生儿评分无影响。其中口服“美孕嘉宝”分娩能量包较静脉补液对缩短产程作用更明显，而且使用更方便，值得推崇。
[关键词]入量管理;分娩结局;产程时间;分娩能量包
[中图分类号] R715.3 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0110-03
[Abstract] Objective To assess the effect of intake management during labor on delivery outcomes. Methods A total of 150 single-term full-term primipara who gave birth in our hospital from February to July 2018 were selected as research objects and they were divided into oral administration group， intravenous administration group and control group according to the voluntary principle， with 50 cases in each group. "Pregnancy Jiabao" delivery energy package was orally administered in the oral administration group， physiological saline and 5% glucose solution alternately was given in the intravenous administration group during labor (after the uterine mouth opened 4 cm)， and no additional oral administration and intravenous administration of energy was given in the control group during labor (after the uterine mouth opened 4 cm) except water. The second and third stage of labor time， total labor time， postpartum hemorrhage， neonatal score， and changes in blood sodium before and after delivery were compared among the three groups. Results The second and third stage of labor time and total labor time in the oral administration group were shorter than those in the intravenous administration group and control group， the second and third stage of labor time and total labor time in the intravenous administration group were shorter than those in the control group， and the differences were statistically significant (P<0.05). There were no statistically significant differences in levels of blood sodium among the three groups before and after delivery (P>0.05). The postpartum 2 h hemorrhage volume in the oral administration group and intravenous administration group was lower than that in the control group， and the differences were statistically significant (P<0.05). There was no statistically significant difference in the postpartum 2 h hemorrhage volume between the oral administration group and intravenous administration group (P>0.05). There were no statistically significant differences in the scores of the newborns among the three groups (P>0.05). Conclusion Intake management during the labor process (oral and intravenous administration) can achieve the purpose of accelerating labor and reducing postpartum hemorrhage， without affecting the changes of blood sodium， and has no effect on neonatal scores. The oral administration of "Pregnancy Jiabao" delivery energy package is more effective than the intravenous administration in shortening the labor process， and it is more convenient to use and is worthy of admiration., 百拇医药(潘丽莉 黄利川 姚娟 黄忠阳 饶文玉)
[关键词]入量管理;分娩结局;产程时间;分娩能量包
[中图分类号] R715.3 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0110-03
[Abstract] Objective To assess the effect of intake management during labor on delivery outcomes. Methods A total of 150 single-term full-term primipara who gave birth in our hospital from February to July 2018 were selected as research objects and they were divided into oral administration group， intravenous administration group and control group according to the voluntary principle， with 50 cases in each group. "Pregnancy Jiabao" delivery energy package was orally administered in the oral administration group， physiological saline and 5% glucose solution alternately was given in the intravenous administration group during labor (after the uterine mouth opened 4 cm)， and no additional oral administration and intravenous administration of energy was given in the control group during labor (after the uterine mouth opened 4 cm) except water. The second and third stage of labor time， total labor time， postpartum hemorrhage， neonatal score， and changes in blood sodium before and after delivery were compared among the three groups. Results The second and third stage of labor time and total labor time in the oral administration group were shorter than those in the intravenous administration group and control group， the second and third stage of labor time and total labor time in the intravenous administration group were shorter than those in the control group， and the differences were statistically significant (P<0.05). There were no statistically significant differences in levels of blood sodium among the three groups before and after delivery (P>0.05). The postpartum 2 h hemorrhage volume in the oral administration group and intravenous administration group was lower than that in the control group， and the differences were statistically significant (P<0.05). There was no statistically significant difference in the postpartum 2 h hemorrhage volume between the oral administration group and intravenous administration group (P>0.05). There were no statistically significant differences in the scores of the newborns among the three groups (P>0.05). Conclusion Intake management during the labor process (oral and intravenous administration) can achieve the purpose of accelerating labor and reducing postpartum hemorrhage， without affecting the changes of blood sodium， and has no effect on neonatal scores. The oral administration of "Pregnancy Jiabao" delivery energy package is more effective than the intravenous administration in shortening the labor process， and it is more convenient to use and is worthy of admiration., 百拇医药(潘丽莉 黄利川 姚娟 黄忠阳 饶文玉)