摘要
目的比较Foley尿管联合间苯三酚及缩宫素与单纯小剂量缩宫素用于晚期妊娠促宫颈成熟及引产的临床应用价值。方法将2015年9月~2016年1月在我院分娩具有促宫颈成熟及引产适应证且胎膜未破、胎盘位置正常的80例产妇随机分为两组,观察组和对照组各40例。严密观察并且记录两组产妇的宫颈成熟情况、宫颈撕裂率、各产程时长等。结果观察组促宫颈成熟总有效率为90%,明显高于对照组的45%,差异有统计学意义（P〈0.01）;引产后宫颈阴道段长度为（1.11±0.62）cm,明显短于对照组的（1.89±0.77）cm,差异有统计学意义（P〈0.05）;观察组Bishop评分为（8.10±0.54）分,明显高于对照组的（6.23±0.67）分,差异有统计学意义（P〈0.05）;观察组总产程时间为（456±20）min,明显短于对照组的（707±43）min,差异有统计学意义（P〈0.01）;观察组子宫颈撕裂率为5.0%,明显低于对照组的17.5%,差异有统计学意义（P〈0.05）。结论 Foley尿管联合间苯三酚及缩宫素可显著提高晚期妊娠引产产妇的宫颈成熟度,且可缩短产程、降低宫颈撕裂率,疗效确切,可减少产妇痛苦,具有较高的临床应用价值。
Objective To compare the clinical application value between Foley catheter combined with phloroglucinol and oxytocin and pure small doses of oxytocin used in late pregnancy to promote cervical mature and induced labor.Methods From September 2015 to January 2016,80 cases pregnancy women in our hospital were randomized into observation group and control group,with cervical mature and induced labor indications and without rupture of fetal membrane,placenta in normal position,each group was 40 cases.The of cervical mature,cervical laceration rate,time of each stages of labor etc of two groups were observed and recorded.Results Compared with the control group,the cervical mature rate of the observation group was significantly increased（90% vs 45%,P〈0.01）;the cervix tube length of the observation group was significantly shortened [（1.11±0.62） cm vs（1.89±0.77） cm,P〈0.05）];the Bishop score of the observation group was significantly increased [（8.10±0.54） scores vs（6.23±0.67） scores,P〈0.01）;The cervical laceration rate of the observation group was significantly shortened（5.0% vs 17.5%,P 〈0.01）.Conclusion Foley catheter combined with phloroglucinol and oxytocin can significantly improve the maternal cervical maturity,and reduce the parturient process and cervical laceration rate in late pregnancy,curative effect is exact.This method can reduce maternal pain and has a high value in clinical application.
出处
《中国当代医药》
2016年第16期110-112,共3页
China Modern Medicine
