产程图应用的历史现状及展望
产程图将对产程的观察以一张图表的形式记录下来以提供对产程的总览，包括连续记录宫口扩张、胎头位置、胎心率、宫缩间隔及持续时间、产程时间等，可动态反映产程进展, 旨在及时发现产程及母儿情况是否异常，判断分娩难易，图内包括警戒线及处理线，要求在规定的时间内采取措施及时进行处理。历经60年的应用，产程图在规范产程管理，降低孕产妇产时严重并发症如子宫破裂、产后出血及围生儿死亡率中发挥了重要的作用，但历经时代变迁，产程图应用价值也被重新审视，2009 年WHO不再推荐在产程管理中常规使用产程图，究其原因集中于既往产程图设计的时代局限性、当代分娩人群及医疗条件的变化及新分娩模式的提出等，本文将回顾产程图的历史，综合最新研究进展及其应用现状，辨证分析产程图作用，并展望产程图的发展方向。
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（2014-10-10收稿 2014-11-17修回）
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