摘要
目的 分析地诺前列酮栓在促进宫颈成熟方面的作用。方法 方便选取该院2021年1—11月收治的延期妊娠分娩的127名孕妇为研究对象。依据促宫颈成熟方式不同分为常规组(n=56)及研究组(n=71)。其中常规组孕妇开展低位水囊促宫颈成熟,研究组孕妇选择地诺前列酮栓促宫颈成熟。对比两组孕妇各产程时间及总产程时间、产后出血量及缩宫素点滴天数、新生儿体质量及Apgar评分、不良妊娠结局及产钳助娩率。结果 两组孕妇各产程时间和总产程时间、产后出血量、新生儿体质量及新生儿Apgar评分、不良妊娠结局、产钳助娩率比较,差异无统计学意义(P>0.05);但研究组孕妇缩宫素点滴天数(0.72±1.11)d短于常规组(1.32±0.81)d,差异有统计学意义(t=3.394,P<0.05)。结论 延期妊娠孕妇开展地诺前列酮栓和低位水囊干预,均能发挥良好的促宫颈成熟效果,但地诺前列酮栓可以缩短缩宫素点滴天数,孕妇可根据实际情况进行合理选择,确保母婴安全。
Objective To analyze the effect of dinoprostone suppository in promoting cervical ripening.Methods A total of 127 pregnant women with delayed pregnancy and delivery who were admitted to the hospital from January to November 2021 were conveniently selected as the research objects.And divided into routine group(n=56) and study group(n=71) according to different ways of promoting cervical ripening.Among them,pregnant women in the routine group carried out low water bladder to promote cervical ripening,and pregnant women in the study group chose dinoprostone suppositories to promote cervical ripening.The duration of each stage of labor,total labor stage time,postpartum hemorrhage,days of oxytocin instillation,neonatal weight,Apgar score,adverse pregnancy outcomes,and forceps-assisted delivery rates were compared in the two groups of pregnant women.Results There were no statistically significant differences in the time of each stage of labor and total stage of labor,postpartum hemorrhage,neonatal weight,neonatal Apgar score,adverse pregnancy outcomes,and forceps delivery rate between the two groups of pregnant women(P>0.05).However,the days of oxytocin instillation of pregnant women in the study group were(0.72±1.11) d shorter than those in the routine group(1.32±0.81) d,the difference was statistically significant(t=3.394,P<0.05).Conclusion Dinoprostone suppository and low water bladder intervention in pregnant women with delayed pregnancy can play a good role in promoting cervical ripening.However,dinoprostone suppositories can shorten the number of days of oxytocin instillation.Pregnant women can make reasonable choices according to the actual situation to ensure the safety of mothers and babies.
作者
陈莎莉
刘照贞
CHEN Shali;LIU Zhaozhen(Department of Obstetrics,Fujian Maternal and Child Health Hospital,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2022年第15期102-105,共4页
China & Foreign Medical Treatment
关键词
促宫颈成熟
地诺前列酮栓
水囊
延期妊娠
Cervical ripening
Dinoprostone suppository
Water bladder
Delayed pregnancy
