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目的探讨过氧化碳酰胺对产程中胎儿宫内窘迫治疗的可行性及疗效。方法分娩过程中出现胎儿宫内窘迫者186例,随机分为治疗组(静脉滴注过氧化碳酰胺+常规治疗)和对照组(鼻吸氧+常规治疗),分析2组治疗后胎心率恢复情况,分娩方式的比较,新生儿Apgar评分,分娩时羊水性状。结果治疗组治疗后,胎心率恢复正常百分率显著大于对照组(P<0.01),剖宫产率及阴道手术率均显著低于对照组(P<0.05),自然分娩率显著高于对照组(P<0.01),新生儿Apgar评分显著高于对照组(P<0.01),羊水性状较对照组好。结论过氧化碳酰胺可以有效的改善胎儿宫内窘迫者的缺氧状态,减少了新生儿的窒息率,为进一步治疗赢得了宝贵的时间。
Objective To investigate the feasibility and efficacy of carbamide in the treatment of fetal distress in labor. Methods 186 cases of intrauterine distress during delivery were randomly divided into treatment group (intravenous infusion of carbamide + conventional treatment) and control group (nasal oxygen + conventional treatment), analysis of two groups of fetal heart rate after treatment Recovery, comparison of modes of delivery, neonatal Apgar score, amniotic fluid traits at delivery. Results After treatment, the normal rate of fetal heart rate recovery was significantly higher than that of the control group (P <0.01), and the rate of cesarean section and vaginal surgery was significantly lower than that of the control group (P <0.05). The rate of spontaneous delivery was significantly higher than that of the control group (P <0.01). Apgar score in neonates was significantly higher than that in control group (P <0.01), and amniotic fluid traits were better than those in control group. CONCLUSIONS: Carbamide can effectively improve the hypoxia status of fetal intrauterine distress, reduce the asphyxia rate of neonates, and win valuable time for further treatment.