摘要
目的探究在妊娠期高血压疾病孕妇中采用子宫宫颈扩张球囊联合地诺前列酮栓治疗的引产效果。方法选择2020年3月至2021年7月我院收治的妊娠期高血压孕妇92例,按随机数字表法分为两组,各46例。对照组给予地诺前列酮栓引产,观察组加用一次性子宫宫颈扩张球囊器引产。比较两组产程进展、产后出血量、宫颈成熟度及母婴不良情况。结果观察组第一产程、诱发临产时间均较对照组短,产后2h及产后24h出血量均少于对照组,有统计学差异(P<0.05);治疗前,两组宫颈成熟度比较,无统计学差异(P>0.05);治疗后,观察组Bishop宫颈成熟度评分高于对照组,有统计学差异(P<0.05);两组第二产程、胎盘早剥、产后出血、羊水污染、产后感染及新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论在妊娠期高血压疾病孕妇中联合采用子宫宫颈扩张球囊联合地诺前列酮栓引产效果较好,能够有效缩短产程时间,减少产后出血量,且母婴不良事件发生率较低。
Objective To explore the effect of uterine cervix dilatation balloon combined with dinoprostone suppository in the treatment of pregnancy induced hypertension.Methods 92 pregnant women with gestational hypertension treated in our hospital from March 2020 to July 2021 were randomly divided into two groups,46 cases in each group.The control group was given dinoprostone suppository to induce labor,and the observation group was added with a disposable uterine cervix dilatation balloon.The progress of labor,the amount of postpartum hemorrhage,the matu rity of cervix and the adverse conditions of mother and infa nt were compa red between the two groups.Results the first stage of la bor and induced la bor time in the observation group were shorter than those in the control group,and the amount of postpartum hemorrhage in 2 h and 24 h were less than those in the control group(P<0.05);Before treatment,there was no significant difference in cervical maturity between the two groups(P>0.05);After treatment,bishop cervical maturity score in the observation group was higher than that in the control group(P<0.05);There was no significa nt difference in the second stage of labor,placental abru ption,postpartum hemorrhage,amniotic fluid pollution,postpartum infection and neonatal asphyxia between the two groups(P>0.05).Conclusion the combined use of uterine cervix dilatation balloon and dinoprostone suppository in pregnant women with hypertensive disorder complicating pregnancy can effectively shorten the duration of labor,reduce the amount of postpartum hemorrhage,and reduce the incidence of adverse events in mothers and infants.
作者
周璐
ZHOU Lu(Department of Obstetrics and Gynecology,Xinzheng Public People's Hospital,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第10期72-73,共2页
Journal of Rare and Uncommon Diseases
关键词
妊娠期高血压
地诺前列酮栓
子宫宫颈扩张球囊
产后出血量
宫颈成熟度
Pregnancy Induced Hypertension
Dinoprostone Suppository
Uterine Cervix Dilatation Balloon
Amount of Postpartum Hemorrhage
Cervical Maturity
