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目的探讨活跃早期人工破膜对产程进展及分娩的影响。方法选择我院2009～2010年度100例头位自然的孕妇为观察组,当宫口大于3cm时进行人工破膜,另选择100例头位自然分娩的孕妇作为对照,当宫口>3cm时让其自然破膜,对两组的产程和分娩情况进行评分。结果观察组100例有90例在人工破膜半小时之后存在不同程度的宫缩现象,所占比例为90%。对照组100例在进行人工破膜之后有45例存在宫缩增加现象,占到的比例为50%。自然分娩率观察组较对照组要高,对照组的胎头吸引率较高,两组结果具有显著统计学差异。结论活跃早期人工破膜可以缩短产程并且对于分娩没有不利的影响,可以在临床上推广使用。
Objective To investigate the effect of active early artificial rupture of membranes on the progress of labor and childbirth. Methods 100 pregnant women with head position in 2009 ~ 2010 in our hospital were selected as the observation group. When the cervix was larger than 3cm, artificial rupture was performed. Another 100 pregnant women with natural head delivery were chosen as controls. When the cervix was> 3cm Its natural rupture of membranes, the two groups of labor and delivery conditions were scored. Results In the observation group of 100 cases, there were 90 cases with varying degrees of uterine contractions after half an hour of artificial rupture of membranes. In the control group, there were 45 cases of uterine contractions after 100 cases of artificial rupture of membranes, accounting for 50%. The rate of natural childbirth in the observation group was higher than that in the control group, and the rate of fetal head in the control group was higher. There was significant difference between the two groups. Conclusion The active early artificial rupture of membranes can shorten the birth process and have no adverse effect on labor and can be popularized clinically.