摘要
目的：探讨宫颈扩张球囊与地诺前列酮栓在促宫颈成熟与引产中的疗效及安全性。方法选择行引产的80例孕产妇，按入院顺序随机平均分为两组各40例，研究组及对照组产妇分别使用 COOK 球囊及地诺前列酮栓促宫颈成熟并引产，比较两组患者治疗前后宫颈 Bishop 评分、促宫颈成熟率、产妇分娩情况及新生儿结局等。结果研究组产妇治疗后宫颈 Bishop 评分为（8．96±0．15）分，明显高于对照组的（6．02±0.34）分（t ＝3．75，P ＜0．05）；研究组产妇促宫颈成熟并引产总有效率为97．5％，明显高于对照组的67．5％（χ2＝5．31，P ＜0．05）；研究组自引产至规律性宫缩时间为（6．2±1．4）h，明显短于对照组的（11．5±2．1）h （t ＝13．28，P ＜0．05），研究组阴道分娩率及剖宫产率分别为85．0％及15．0％，与对照组的62．5％及37．5％比较差异有统计学意义（χ2＝3．88、6．49，均 P ＜0．05）；两组产妇及新生儿结局比较差异均无统计学意义（t ＝0．17、0．43、0．31、0．82，均 P ＞0．05）。结论宫颈扩张球囊促宫颈成熟并引产成功率较高，安全可靠，值得推广应用。
Objective To investigate the efficacy and safety of cervical dilatation balloon and Dinoprostone for promoting cervical ripening and induction of labor.Methods 80 maternal who were taken induction of labor were randomly divided into two groups,40 patients in each group,according to the order of admission,the study group and the control group used COOK balloon and Dinoprostone for promoting cervical ripening and induction of labor respec-tively,Bishop score before and after treatment,cervical ripening rate of maternal and neonatal outcomes were compared between the two groups of maternal.Results The study group′s Bishop score was （8.96 ±0.15）points,which was significantly higher than （6.02 ±0.34）points of the control group after treatment,the difference was statistically sig-nificant（t =3.75,P 〈0.05）;The total effective rate of the study group for maternal cervical ripening and induction of labor was 97.5%,which was significantly higher than 67.5% of the control group,the difference was statistically sig-nificant（χ2 =5.31,P 〈0.05）;The study group′s induction to the regularity of contractions time was （6.2 ±1.4）h, which was significantly lower than （11.5 ±2.1）h of the control group（t =13.28,P 〈0.05）,and the study group′s vaginal delivery rate and cesarean section rate were 85.0% and 15.0% respectively,the difference was statistically significant,which compared with 62.5% and 37.5% of the control group （χ2 =3.88,6.49,all P 〈0.05）;The two groups′maternal and neonatal outcomes showed no significant difference（t =0.17,0.43,0.31,0.82,all P 〉;0.05）.Conclusion The cervical dilatation balloon has a higher success rate for promoting cervical ripening and induction of labor which is safe and reliable that should be widely applied.
出处
《中国基层医药》
CAS
2015年第10期1514-1516,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
宫颈成熟
组织扩张装置
引产
地诺前列酮
Cervical Ripening
Tissue Expansion Devices
Labor,Induced
Dinoprostone
