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目的观察地西泮联合问苯三酚在分娩中对产程的影响。方法选择正常初产妇规律宫缩愿意经阴道分娩者200例,随机分为两组,每组各100例。观察组在宫口开大3cm宫缩规律时给予间苯三酚80mg宫颈注射,加地西泮10mg肌肉注射,对照组不予干预。同时观察两组的产程、分娩方式、新生儿Apgar评分及产后2h阴道流血量等情况。结果观察组疼痛程度Ⅰ、Ⅱ、Ⅲ级分别为82、16、2例,对照组分别为30、58、12例,两组比较差异有统计学意义(P〈0.01);观察组总产程和第一产程均较对照组明显缩短(P〈0.05),顺产率明显高于对照组(P〈0.05)。阴道流血量、新生儿Apgar评分及新生儿出生体重等比较差异均无统计学意义(P〉0.05)。结论地西泮联合间苯三酚能明显缩短产程,减轻分娩疼痛,对产妇及新生儿无不良影响,值得推广使用。 相似文献
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临床工作中由于微量泵治疗时间长,而连接管长度有限,在应用过程中,可能发生各种异常情况影响治疗效果.而目前使用的输液器只有1个可调节快慢的输液夹,由输液管和调节卡组成,临床工作中对于要求严格限制滴速的液体操作来说不精确,可调性不强,不易控制滴速,对于严格控制滴速还不能达到理想的效果. 相似文献
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骨盆倾斜度异常产妇分娩体位干预效果观察 总被引:1,自引:0,他引:1
目的 探讨体位变换对骨盆倾斜度异常产妇分娩及新生儿的影响.方法 将180例产妇随机分为观察组和对照组各90例,对照组在产程中采取常规分娩体位;观察组实施体位干预,即在第一产程活跃期后取40°~70°斜坡位,第二产程取膀胱截石位.比较两组分娩方式,第一、第二产程时间,会阴裂伤发生率及新生儿出生情况.结果 观察组剖宫产率显著低于对照组(P<0.01),第一、第二产程时间显著短于对照组(均P<0.01),会阴裂伤发生率显著低于对照组(P<0.05);两组新生儿出生情况比较,差异无显著性意义(均P>0.05).结论 采用干预体位后使骨盆倾斜度异常得到纠正,可降低剖宫产率,缩短产程并降低会阴裂伤发生率. 相似文献
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新型双插头可调试微量输液器的研制与应用 总被引:1,自引:1,他引:0
目前使用的输液器上只有一个可调节快慢的输液调节卡,临床工作中对于要求严格限制滴速的液体操作来说不精确,可调性不强,不易控制滴速,对于严格控制滴速还不能达到理想的效果。临床工作中有许多药物需要微量输液,严格控制滴速比如产前应用催产速引产、妊娠合并高血压静脉点滴硫酸镁、心衰应用抗心衰药物、小儿输液、危重病人用药等需要将少量液体药物精确、微量、均匀、持续的输入体内。 相似文献
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2008年4月,我们对2002~2006年泰安市孕产妇死亡情况进行了分析,旨在了解其动态变化及死因构成,以便制定相应干预措施,进一步降低孕产妇死亡率. 相似文献
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头位难产适时干预对分娩的影响 总被引:1,自引:1,他引:0
目的 探讨头位难产的特点,提出恰当的处理方法.正确处理头位难产,降低剖宫产率,减少母儿并发症.方法 对我院2007年1月至2009年12月头位难产病例进行调查比较,总结头位难产的发生原因、临床特点、探讨头位难产的因素及干预处理方式,分娩方式及对母儿影响.结果 通过对头位难产早期诊断,对各种异常的胎方位提出合理的干预处理意见,其中320例难产转化为顺产经阴分娩,36例采用剖宫产结束分娩.结论 通过对头位难产的早期估计、早期诊断、产程中严密观察,及时采取处理措施,可明确降低围产期头位难产的发病率,对减少母婴损伤,改善围产儿结局有重要意义.Abstract: Objective To investigate the clinical characteristics of head presentation dystocia and to discuss the appropriate treatment methods. Methods The main cause and clinical significance of head presentation dystocia were investigated. Interventions, delivery modes and their affection on mothers and babies were summarized. Result Reasonable treatment methods were made based on early diagnosis of head presentation dystocia. Three hundred and twenty cases of dystocia were transferred into easy labour and 36 cases were adopted caesarean birth. Conclusions Prompt prediction, early diagnosis, careful observation and intervention can significantly reduce the incidence of head presentation dystocia, which is vital to improve the outcome of perinatal death. 相似文献
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目的 通过对新型农村合作医疗(新农合)单病种管理实施临床路径应用的观察来评价临床路径的价值与作用.方法 根据选择病种的原则我们选择进行阑尾炎、腹股沟疝手术治疗的患者各60例,同一病种患者按实行临床路径单病种管理与否分为试验组和对照组各30例.对每一病种的2组患者进行平均住院日、平均住院费用、患者满意度等几个方面的比较.结果 阑尾炎患者实施了临床路径管理后,试验组平均住院日比对照组缩短了约2.5 d,平均住院费用减少了约1602.4元,差异均有统计学意义(P<0.05).腹股沟疝患者实施了临床路径管理后,试验组的平均住院日缩短了约3.4 d,平均等候手术日缩短了约1.5 d,平均住院费用减少了约1789.7元,差异均有统计学意义(P<0.05).在阑尾炎患者中,对照组药品费用比例、抗生素费用比例明显高于试验组,实验室检查和影像检查费比例比试验组偏高,差异均有统计学意义(P<0.05).在腹股沟疝患者中,对照组药品费用比例、实验室检查和影像检查费用所占比例均明显高于试验组,差异有统计学意义(P<0.05).结论 临床路径提供了标准规范的工作模式,能保证医疗护理等措施在既定时间内实现,并达到预期的医疗效果,还能促进医疗资源的有效利用,使参合农民及所有患者受益.Abstract: Objective To evaluate the value and the function of clinical pathway by observing the application of carrying out clinical pathway of the management of single-disease in the new cooperative medical scheme. Methods According to the roles of choosing the kind of disease,patients who had been treated by appendicitis operation and inguinal hernia operation were chosen. Each group had 60 cases respectively. Patients who had the same disease were divided into experimental group and control group. The average days in hospital,the average hospitalization expenses,the satisfaction of patients were compared between two groups. Results Through the implementation of clinical pathways,the average days in hospital and hospitalization expenses of appendicitis patients were significantly reduced (P < 0.05),those of inguinal hernia patients were also significantly reduced (P < 0.05). For appendicitis patients in the control group,the proportion of drug costs and antibiotics were significantly higher than those in the experimental group. The proportion of laboratory tests and imaging examination were significantly lower than that in the experimental group (P <0.05). For inguinal hernia patients in the control group,the proportion of drug costs,laboratory tests and imaging examination were significantly higher than the experimental group (P <0.05). Conclusions Clinical pathway provides a standard operating mode and ensures the implementation of health care measures,so the expected medical effects can be achieved. It can promote the effective use of medical resources,benefitting both the patients and the farmers who participate the new cooperative medical scheme. 相似文献