中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

产程管理和干预措施

刘铭   

  1. 作者单位：同济大学附属第一妇婴保健院，上海 201204
  • 出版日期:2016-08-02 发布日期:2016-08-08

Labor management and intervention.

LIU Ming.   

  1. Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 201204，China
  • Online:2016-08-02 Published:2016-08-08

摘要：

随着分娩人群特点和产程干预的明显变化，传统产程图是否还适用于现代产科人群变得很有争议。近年来，张军等的一系列产程研究结果得到很多研究的支持，在这些研究的基础上，国内外也发布了相关指南和共识，但张军等的研究是当时美国产科实践的一项回顾性研究，结果是否适合中国人群尚有待临床验证。在产程标准观点已经逐步发生改变，而中国产程研究尚未得出结论前，如何进行产程管理和干预成为临床医生最关注的问题之一。

关键词: 产程, 管理, 人工破膜, 缩宫素, 产程干预

Abstract:

Abstract: With significant change in contemporary obstetric population peculiarity and current obstetric interventions, the utility of traditional labor curve has been greatly challenged. In recent years, a series of labor studies have been reported by Zhang et al. Based on these contemporary data, several organizations have renewed labor curve. However, Zhang examined the labor patterns retrospectively according to labor data in the United States, so further research should be evaluated in Chinese women. Clinicians are now most concerned about how to predict and manage labor progression before the Chinese labor curve is confirmed.

Key words: labor, management, amniotomy, oxytocin regimen, obstetric intervention

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