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Beard指出在正常分娩期,母血循环可出现代谢性酸中毒。孕妇情绪紧张、饥饿、疲劳等可使此种“生理性酸中毒”明显加重,影响产程进展。自1990年10月~1991年4月我们将纠正酸中毒列入产程监护内容之一,收到了良好效果。1 资料与方法1.1 对象:本文102例观察对象,年龄为23~30岁’孕龄≥37周<42周,无并发症的初产妇。临产前及产程中均有程度不同的情绪紧张、疲劳、进食明显减少,表现为原发性或继发性宫缩乏力。潜伏期宫口扩张速度每开大1cm需时>3小时,活跃期宫口扩张速度每开大1cm需时>1小时。1.2 方法:对上述患者抽静脉血测二氧化碳结合力(CO_2CP)。对潜伏早期患者,首先排除假临
Beard points out that during normal labor, metabolic acidosis can occur in maternal blood circulation. Pregnant women emotional stress, hunger, fatigue, etc. can make such “physiological acidosis” significantly increased, affecting the progress of labor. From October 1990 to April 1991, we corrected acidosis into one of the contents of labor control and received good results. 1 Materials and Methods 1.1 Subjects: 102 cases observed in this article, aged 23 to 30 years’ gestational age ≥ 37 weeks <42 weeks, no complications of primipara. Prenatal and labor process to varying degrees of emotional stress, fatigue, eating significantly reduced, manifested as primary or secondary uterine atony. Incubation period cervix expansion rate of 1cm each need to open a large> 3 hours, the active phase of cervix expansion rate of 1cm each need more than 1 hour. 1.2 Methods: The above patients with venous blood carbon dioxide (CO_2CP). Early latent patients, the first to rule out provisional