影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 579-583.DOI: 10.7517/issn.1674-0475.211115

• 综述与论文 • 上一篇    下一篇

间苯三酚在分娩镇痛的应用及对子宫动脉超声参数的影响

崔小娟, 周玲, 齐育英, 李平华, 袁红   

  1. 华北医疗健康集团邢台总医院妇产科, 河北 邢台 054000
  • 收稿日期:2021-11-04 出版日期:2022-05-15 发布日期:2022-05-27

The Application of Phloroglucinol in Labor Analgesia and Its Effect on Ultrasonic Parameters of Uterine Artery

CUI Xiaojuan, ZHOU Ling, QI Yuying, LI Pinghua, YUAN Hong   

  1. The Department of Obstetrics and Gynecology, Xingtai General Hospital, North China Healthcare Group, Xingtai 054000, Hebei, P. R. China
  • Received:2021-11-04 Online:2022-05-15 Published:2022-05-27

摘要: 本文探讨间苯三酚静脉推注在初产阴道分娩镇痛中的效果及对子宫动脉超声参数的影响。选取阴道分娩初产妇180例,其中观察组(n=93)给予间苯三酚静脉推注,对照组(n=87)给予地西泮静脉推注,观察两组不同产程时间、VAS评分以及子宫动脉超声等参数差异。观察组第一产程和第二产程时间明显短于对照组(P<0.05);观察组产妇不同产程VAS评分低于对照组(P<0.05);观察组阴道分娩比例明显高于对照组(P<0.05);观察组和对照组分娩前、注射30 min及宫口开全时子宫动脉、胎儿大脑中动脉搏动指数(PI)、阻力指数(RI)和最大峰值血流速度/舒张末期血流速度(S/D)比较差异无统计学意义(P>0.05)。在初产阴道分娩镇痛中,间苯三酚静脉推注可加速产程进展,减轻分娩时疼痛,对子宫动脉等超声参数无明显影响。

关键词: 间苯三酚, 初产妇, 阴道分娩, 子宫动脉

Abstract: This article discusses the effects of intravenous injection of phloroglucinol in the analgesia of primiparous vaginal labor and its influence on the ultrasound parameters of the uterine artery. 180 primiparas were selected, observation group (n=93) was given intravenous injection of phloroglucinol and control group (n=87) was given intravenous injection of diazepam. Compared the differences of labor process time, VAS score, uterine artery ultrasound and so on between the two groups. The first and the second stage of labor in the observation group were significantly shorter than those in the control group (P<0.05). The VAS scores of the different stage of labor in the observation group were significantly lower than those in the control group (P<0.05). The proportion of vaginal delivery in the observation group was significantly higher than those in the control group (P<0.05). Before delivery, 30 minutes of injection and full-time cervix there were no significant differences in uterine artery, fetal middle cerebral artery pulsatility index (PI), resistance index (RI) and maximum peak blood flow velocity / end diastolic blood flow velocity (S/D) between the two groups (P>0.05). In vaginal delivery analgesia, the intravenous injection of phloroglucinol can accelerate the progress of labor, reduce labor pain, and has no significant effect on ultrasonic parameters such as uterine artery.

Key words: phloroglucinol, primipara, vaginal delivery, uterine artery