摘要
目的研究分析紧急宫颈环扎术联合阿托西班治疗宫颈功能不全的临床效果。方法选取2016年9月~2017年9月我院收治的60例宫颈功能不全患者作为研究对象,采用随机数字表法将研究对象分为两组,每组各30例。两组患者均进行紧急宫颈环扎术,观察组患者在紧急宫颈环扎术治疗基础上同时应用阿托西班药物进行治疗。观察并记录两组的分娩方式、孕龄延长时间及胎儿阿氏(Apgar)评分。结果观察组孕妇的孕龄延长时间明显长于对照组,差异有统计学意义(P<0.05)。观察组的胎儿Apgar评分明显高于对照组,差异有统计学意义(P<0.05)。观察组的自然分娩率明显高于对照组,差异有统计学意义(P<0.05)。结论紧急宫颈环扎术联合阿托西班治疗宫颈功能不全,可有效延长患者的妊娠时间,改善产妇及新生儿的结局,提高产妇自然分娩的比例,应在临床中广泛推广。
Objective To study and analyze the clinical efficacy of emergency cervical cerclage combined with Atosiban in the treatment of cervical incompetence.Methods Sixty patients with cervical incompetence treated in our hospital from September 2016 to September 2017 were selected as subjects.They were divided into two groups by random number table method,with 30 patients in each group.All patients were provided with emergency cervical cerclage.The patients in the observation group,besides the emergency cervical cerclage,Atosiban was added.The indexes of delivery mode,the delayed gestational period and fetal Apgar score between the two groups were observed and recorded.Results In the observation group,the delayed gestational period were significantly longer than those in the control group,the difference was statistically significant（P〈0.05）.The fetal Apgar score in the observation group was much higher than that in the control group,the difference was statistically significant（P〈0.05）.The rate of natural childbirth in the observation group was significantly higher than that in the control group（P〈0.05）.Conclusion The combination of emergency cervical cerclage and Atosiban can effectively prolong the pregnancy time in patients with cervical incompetence,improve the outcomes of maternal and newborn,and increase the proportion of spontaneous delivery of pregnant women,which should be widely promoted in the clinic.
作者
刘昱
尹保民
LIU Yu;YIN Bao-min(Department of Obstetrics,Zhuhai Maternal and Child Health Hospital,Guangdong Province,Zhuhai 519000,China)
出处
《中国当代医药》
2018年第12期95-97,共3页
China Modern Medicine
关键词
紧急宫颈环扎术
阿托西班
宫颈功能不全
临床疗效
Emergency cervical cerclage
Atosiban
Cervical incompetence
Clinical efficacy
