1目的　探讨产程中综合干预对分娩的影响。 2方法　选择初产、单胎、足月妊娠、头位 ,进入活跃期未破膜 ,无异常并发症的产妇 2 0 0例随机分为两组。对观察组在不同时相进行一系列干预 ,包括人工破膜、静注地西泮、产妇采取相应体位、徒手扩张宫颈、徒手旋转胎头。 3结果　与对照组比较 ,观察组活跃期及第二产程时间明显缩短 (t=5 .0 4,2 .38,P<0 .0 1,0 .0 5 ) ,活跃期宫口开大和胎头下降速度明显增快 (t=3.13,3.89,P<0 .0 1) ,手术产率和新生儿窒息率明显下降 (χ2 =4.19,4.35 ,P<0 .0 5 )。 4结论　产程中综合干预安全、易行、有效 Objective To investigate the effect of comprehensive intervention during labor on delivery. 2 Methods Select primiparous, singleton, full-term pregnancy, head position, into the active period without rupture, no abnormal complications of maternal 200 cases were randomly divided into two groups. The observation group conducted a series of interventions at different times, including artificial rupture of membranes, intravenous diazepam, maternal take the appropriate position, bare hands to expand the cervix, hand rotation of the fetal head. 3 Results Compared with the control group, the active group and the second stage of labor was significantly shorter (t = 5.04,2.38, P <0.010,05), the active stage of cervix open large and fetal (T = 3.13, 3.89, P <0.01). The rate of surgical operation and neonatal asphyxia decreased significantly (χ2 = 4.19, 4.35, P <0.05). 4 Conclusion Integrated labor safety in the process of production, easy and effective