分析石嘴山市二医院 1996年 10月～ 1998年 11月间经阴道分娩的初产妇 ,在产程活跃期应用手法扩张宫颈 5 0例 ,同时取不同手法扩张宫颈者 5 0例与之对照 ,对两组一般资料、产程进展、胎儿宫内窘迫、新生儿窒息、剖宫产、软产道损伤等方面进行分析。结果产程活跃期应用手法扩张宫颈可加速产程进展 (P <0 0 1) ,减少新生儿窒息 (0 0 5 >P >0 0 1) ,降低剖宫产率 (P <0 0 1) ,但操作不当易造成软产道损伤 (P <0 0 1)。 Analysis of Shizuishan Second Hospital from October 1996 to November 1998 during vaginal delivery of primipara, during labor active stage expansion of the cervix 50 cases, while taking different ways to expand the cervix were 50 cases of contrast, the two Group general information, progress of labor, fetal distress, neonatal asphyxia, cesarean section, soft birth canal injury and other aspects of analysis. Results During the active stage of labor, cervical dilation could accelerate the progress of labor (P <0.01), reduce neonatal asphyxia (P0.05> P0.01) and reduce the rate of cesarean section (P0.01) Improper operation can easily lead to soft birth canal injury (P <0 0 1).