目的:观察和分析间苯三酚用于治疗宫颈水肿的疗效.方法:将2009年6月～2011年1月在本院分娩过程中发生宫颈水肿的孕妇共192例随机分为A、B、C三组.A组给予间苯三酚肌注,B组予间苯三酚肌注、地西泮静推,C组给予利多卡因和阿托品宫颈水肿局部注射.观察并比较各组宫颈水肿消退情况、剖宫产率、产后出血及新生儿窒息情况.结果:给药后,A、B两组宫颈水肿治疗有效率均高于C组,A、B两组阴道分娩率高于C组,剖宫产率低于C组,差异有统计学意义(P＜0.05).A组宫颈水肿治疗有效率高于B组,阴道分娩率高于B组,剖宫产率低于B组,差异有统计学意义(P＜0.05).三组之间产后出血及新生儿窒息情况未见明显差异.结论:应用间苯三酚治疗产时宫颈水肿,可明显减轻水肿,加速宫颈扩张,缩短产程,降低剖宫产率.%Objective: To observe and analyze the therapeutic effects of Phloroglucinol for cervical edema. Methods: 192 cases of parturients who developed cervical edema during delivery in our hospital from June 2009 to January 2011 were randomly divided into three groups. Group A was given Phloroglucinol injectd to cervix. Group B was injected to cervix locally and use diazepam injected to cervix. Group C was locally injected to cervix with Lidocaine and Atropine. The subsidence of cervical edema, the rate of cesarean section, the postpartum hemorrhage and neonatal asphyxia were observed and compared among the three groups. Results: The treatment effective rate of cervical edema and the rate of vaginal delivery were higher in Group C compared with Goup A and B. The differences had statistical significance (P<0.05). The treatment effective rate of cervical edema and the rate of vaginal delivery were higher in Group A compared with Group B. The differences had statistical significance(P<0.05). There were no significant differences among the three groups in postpartum hemorrhage and neonatal asphyxia. Conclusion: Treating cervical edema during delivery with Phloroglucinol could obviously alleviate cervical edema, accelerate the cervical dilatation, short the time of labor and lower the rate of cesarean section.
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