摘要
目的分析双球囊导管联合静脉滴注催产素应用于诱导瘢痕子宫再次足月分娩的价值。方法回顾性收集2017年9月至2020年9月在我院生产的70例瘢痕子宫经产妇资料,根据不同诱导分娩方式分为对照组与研究组,各35例,对照组产妇通过静脉滴注催产素诱导分娩,研究组产妇通过双球囊导管促宫颈成熟联合静脉滴注催产素诱导分娩,对比两组产妇促宫颈成熟和引产成功率、阴道分娩率、诱导分娩时间、总分娩时间、产后24h出血总量、宫颈裂伤和产褥感染发生率及新生儿结局等。结果两组产妇第二产程时长、宫颈裂伤率、产褥感染率、新生儿体重、新生儿出生5min后Apgar评分、新生儿窒息率、新生儿病理性黄疸率对比差异无统计学意义(P>0.05);观察组诱导分娩时长、第一产程时长、总产程时长、产后24h总出血量均明显少于对照组,对比差异有统计学意义(P<0.05);观察组产妇宫颈成熟总有效率、引产成功率、阴道分娩率均明显高于对照组,对比差异有统计学意义(P<0.05)。结论通过双球囊导管促宫颈成熟联合静脉滴注催产素诱导分娩,可显著提高瘢痕子宫再次足月分娩产妇宫颈成熟度与阴道分娩成功率,且安全保障性良好,可在一定范围内结合有需求的产妇进行推广施行。
Objective To analyze the value of double balloon catheter combined with intravenous infusion of oxytocin in inducing second term delivery of scar uterus.Methods Retrospectively collected in September 2017 to September 2020 in our hospital 70 cases of scar uterus multipara material,according to the different ways of induction of labor is divided into control group and the team,and 35 cases in the control group by intravenous drip maternal oxytocin induction of labor,the team maternal promote cervical mature through double balloon catheter combined intravenous drip of oxytocin induction of labor,compared two groups of women and promote cervical maturity and success rate of induced labor,vaginal births,induced labor time,total delivery time,total 24 h postpartum hemorrhage,cervical laceration and incidence of puerperal infection and neonatal outcome.Results There were no significant differences in the length of the second stage of labor,the rate of cervical laceration,the rate of puerperal infection,the neonatal weight,Apgar score after 5 minutes of birth,the rate of neonatal asphyxia and the rate of neonatal pathological jaundice between the two groups(P>0.05).The duration of induced labor,the length of the first stage of labor,the total length of labor and the total postpartum bleeding 24h in the observation group were significantly less than those in the control group,with statistical differences(P<0.05).The total effective rate of cervical maturation,the success rate of labor induction and the rate of vaginal delivery in the observation group were significantly higher than those in the control group,with statistical differences(P<0.05).Conclusion The delivery induced by double balloon catheter for cervical maturation combined with intravenous infusion of oxytocin can significantly improve the success rate of cervical maturity and vaginal delivery in pregnant women with second term delivery of scar uterus,and the safety guarantee is good.It can be popularized and carried out in combination with women in need in a
作者
杨栋清
金萍
YANG Dong-qing;JIN Ping(Department of Obstetrics and Gynecology,Doumen Maternal and Child Health Hospital,Zhuhai,Guangdong 519070;Department of Obstetrics and Gynecology,Zhuhai Maternal and Child Health Hospital,Zhuhai,Guangdong 519070)
出处
《智慧健康》
2021年第22期90-93,共4页
Smart Healthcare
基金
《一次性宫颈球囊扩张器在足月妊娠引产中的临床应用价值》(课题编号:20181117A010005)。
