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目的 探讨羊膜腔灌注 (AI)对产时出现的频发可变减速 (RVD)治疗作用。方法 将 2 76例产时出现RVD的产妇 ,随机分为灌注组 ( 14 2例 )用灌注仪行AI或羊水置换 ;对照组 ( 13 4例 )给予改变体位等常规治疗。结果 两组相比较 ,灌注组的剖宫产率、1分钟Apgar评分≤ 7分百分率、胎粪吸入综合征 (MAS)发生率、产褥病率的发生率均低于对照组 (P <0 0 5 )。结论 AI是处理产时出现的RVD的有效手段 ,可降低剖宫产率 ,减少母婴并发症。
Objective To investigate the effect of amniotic fluid perfusion (AI) on the occurrence of frequent variable deceleration (RVD) during labor. Methods Two hundred and seventy-six maternal women with RVD during labor were randomly divided into perfusion group (14 2 cases) and perfusion instrument (AI or amniotic fluid replacement). Control group (134 cases) were given conventional therapy such as changing position. Results Compared with the control group, the cesarean section rate, 1-minute Apgar score ≤ 7 points, meconium aspiration syndrome (MAS) incidence and the rate of puerperal morbidity in the two groups were significantly lower than those in the control group 0 5). Conclusions AI is an effective method to treat RVD during delivery, which can reduce the rate of cesarean section and reduce the complications of mother and infant.