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分娩时在产程进展过程中,宫颈因妊娠期发生一系列化学及血液流变学改变,较易发生水肿。宫颈水肿可使产程延长、停滞,以致难产。因此,早期发现并及时处理可促进产程顺利进展,降低难产率,对减少母婴围产期并发症极为重要。本所自1996年2月至12月份共收治350例产妇分娩。其中有55例发生宫颈水肿,占15.7％。这55例宫颈水肿者应用阿托品和东莨菪碱局部注射后水肿均消退,有效率达100％,产程进展明显加快。其中50例经阴道自然分娩,其余5例因产科其他原因产钳助娩。
Childbirth in the process of labor progress, cervical pregnancy occurs due to a series of chemical and blood rheology changes, more prone to edema. Cervical edema can prolong labor, stagnation, resulting in labor. Therefore, early detection and timely treatment can promote the smooth progress of labor, reduce the rate of dystocia, to reduce maternal and infant perinatal complications is extremely important. The Institute since February 1996 to December a total of 350 cases of maternal delivery. 55 cases of cervical edema occurred, accounting for 15.7%. The 55 cases of cervical edema were atropine and scopolamine local injection edema subsided, the effective rate of 100%, significantly accelerated the progress of labor. 50 cases of natural vaginal delivery, the remaining 5 cases due to obstetric forceps delivery labor.