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目的分析新产程在促进自然分娩的临床应用效果。方法选取2014年4月-2015年12月产科行阴道自然分娩的产妇221例,随机分为试验组111例和对照组110例。分娩过程观察处理:对照组采用临床常用分娩标准;试验组采用《新产程标准及处理的专家共识(2014)》的标准。比较2组剖宫产率及新生儿1min、5min内Apgar评分。结果试验组剖宫产3例(2.7%)明显低于试验组的15例(13.6%),差异有统计学意义(P<0.05)。2组新生儿1min、5min时Apgar评分比较差异无统计学意义(P>0.05)。结论新产程能显著减少剖宫产率,促进产妇阴道自然分娩,且对新生儿的短期内无影响。应在临床大力推行实施。
Objective To analyze the clinical effect of new birth process in promoting natural childbirth. Methods 221 cases of spontaneous vaginal delivery from April 2014 to December 2015 in obstetrics were randomly divided into experimental group (n = 111) and control group (n = 110). Observation of childbirth process: The control group adopted the standard of clinical delivery; the experimental group adopted the standard of “Experts on New Production Process Standards and Handling (2014)”. The rate of cesarean section in 2 groups and Apgar score in 1 minute and 5 minutes in neonates were compared. Results Three cases (2.7%) of cesarean section in the experimental group were significantly lower than those in the experimental group (13.6%), the difference was statistically significant (P <0.05). There was no significant difference in Apgar score between two groups at 1 minute and 5 minutes (P> 0.05). Conclusion The new birth process can significantly reduce the rate of cesarean section and promote natural vaginal delivery, and no effect on the short-term neonatal. Should vigorously promote the implementation of the clinical.