摘要
目的:观察间苯三酚联合缩宫素治疗足月胎膜早破引产患者的效果。方法:选取60例足月胎膜早破引产患者作为研究对象,按照随机数字表法分为对照组和观察组各30例。对照组给予缩宫素治疗,观察组在对照组的基础上联合间苯三酚治疗,比较两组治疗前后Bishop评分、临床疗效、潜伏期时间、活跃期时间、第二产程和第三产程时间、分娩方式及不良妊娠结局。结果:治疗后,观察组Bishop评分高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05);观察组潜伏期时间、活跃期时间及第二、三产程时间均短于对照组,差异有统计学意义(P<0.05);观察组阴道分娩率高于对照组,新生儿窒息发生率低于对照组,差异均有统计学意义(P<0.05)。结论:间苯三酚联合缩宫素治疗足月胎膜早破引产患者可提高Bishop评分、治疗总有效率和阴道分娩率,缩短潜伏期时间、活跃期时间及第二、三产程时间,降低新生儿窒息发生率,其效果优于单纯缩宫素治疗。
Objective:To observe effects of Phloroglucinol combined with Oxytocin in induced labor of patients with term premature rupture of membranes.Methods:60 patients with term premature rupture of membranes were selected as the research objects,and were divided into control group and observation group according to the random number table method,30 cases in each group.The control group was treated with Oxytocin,while the observation group was treated with Phloroglucinol on the basis of that of the control group.The Bishop scores before and after the treatment,the clinical effects,the latency period,the active period,the second and third stages of labor,the mode of the delivery and adverse pregnancy outcomes were compared between the two groups.Results:After the treatment,the Bishop score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 93.33%,which was higher than 66.67%in the control group,and the difference was statistically significant(P<0.05).The latency period,the active period,and the second and third stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Further,the vaginal delivery rate in the observation group was higher than that in the control group;the incidence of neonatal asphyxia was lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Phloroglucinol combined with Oxytocin in the treatment of the patients with term premature rupture of membranes can improve the Bishop score,the total effective rate of treatment and the vaginal delivery rate,shorten the latency period,the active period and the second and third stages of labor,and reduce the incidence of neonatal asphyxia.Moreover,it is superior to single Oxytocin treatment.
作者
池志群
赖红
刘美荣
CHI Zhiqun;LAI Hong;LIU Meirong(Department of Obstetrics and Gynecology of Ruijin People’s Hospital,Ruijin 342500 Jiangxi,China;Department of Obstetrics and Gynecology of Ruijin Traditional Chinese Medicine Hospital,Ruijin 342500 Jiangxi,China;Department of Obstetrics and Gynecology of Ruijin Maternity and Child Health Hospital,Ruijin 342500 Jiangxi,China)
出处
《中国民康医学》
2021年第19期36-38,共3页
Medical Journal of Chinese People’s Health
基金
赣州市指导性科技计划项目(GZ2020ZSF683)。
关键词
间苯三酚
缩宫素
足月
胎膜早破
引产
分娩方式
新生儿窒息
Phloroglucinol
Oxytocin
Full term
Premature rupture of membrane
Induced labor
Mode of delivery
Neonatal asphyxia
