摘要
目的 探讨Foley尿管水囊联合缩宫素用于足月妊娠促宫颈成熟的有效性、安全性和对产程的影响。方法 选择2017年6月至2021年1月期间在芜湖市第二人民医院产科102例足月妊娠产妇(具有引产指征),根据产妇意愿选择治疗方式,其中给予缩宫素治疗的51例产妇为对照组;联合组(51例)给予Foley球囊联合缩宫素治疗。观察两组引产前、干预后宫颈成熟效果,同时比较两者产程及母婴结局。结果 干预后两组Bishop评分均显著高于引产前,且联合组评分显著高于对照组(P <0.05);联合组的第一产程及总产程时间明显少于对照组(P <0.05);联合组引产成功率、阴道分娩率高于对照组,产后出血及软产道撕裂率低于对照组(P <0.05);联合组新生儿Apgar评分较对照组更高(P <0.05)。结论 Foley尿管水囊+缩宫素联合用于足月妊娠产妇能安全且有效促进其宫颈成熟、能缩短其产程。
Objective To explore the application effectiveness and safety of Foley catheter water bag combined with oxytocin in promoting cervical ripening and its influences on stages of labor in full-term pregnancy. Methods A total of 102 full-term pregnant women with induced labor indications in Obstetrics Department of our hospital were enrolled between June 2017 and January 2021. According to different treatment methods by their willingness, they were divided into control group(51 cases, oxytocin) and combination group(51 cases, Foley balloon combined with oxytocin).Before induced labor and after intervention, cervical ripening effects in both groups were observed. The effect of cervical ripening before labor induction and after intervention in the two groups was observed, and the labor process and maternal and infant outcomes were compared between the two groups. Results After intervention, Bishop scores were significantly higher than those before induced labor in both groups, which were significantly higher in combination group than control group(P < 0.05). The first stage of labor and total stage of labor in combination group were significantly shorter than those in control group(P < 0.05). The successful rate of labor induction and vaginal delivery in the combined group were higher than those in the control group, and the rates of postpartum hemorrhage and soft birth canal tearing were lower than those in the control group(P < 0.05). The neonatal Apgar score in combination group was higher than that in control group(P < 0.05). Conclusion Foley catheter water bag combined with oxytocin can effectively and safely promote cervical ripening and shorten stages of labor in full-term pregnant women.
作者
彭丹
杜媛媛
李艳梅
PENG Dan;DU Yuanyuan;LI Yanmei(Department of Obstetrics,Wuhu Second People's Hospital,Wuhu Anhui 241000,China)
出处
《中国妇产科临床杂志》
CSCD
2022年第3期251-253,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
安徽省自然科学基金项目(2018085QH381)。
关键词
足月妊娠初产妇
Foley尿管水囊
缩宫素
产程
母婴结局
full-term pregnancy primipara
foley catheter water bag
oxytocin
stage of labor
maternal and neonatal outcome
