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宫颈扩张球囊与小剂量催产素促宫颈成熟并引产的效果及新生儿结局影响 被引量:6

Effects of Cervical Dilatation Balloon and Low Dose Oxytocin on Cervical Maturation and Induction of Labor and Neonatal Outcomes
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摘要 目的比较应用宫颈扩张球囊与小剂量催产素促宫颈成熟并引产效果,以及影响新生儿结局情况。方法在2016年1月至2017年12月选择来我院收治的符合引产指征的80例产妇作为本次研究对象,将其分成对照组和观察组,每组40例。观察组给予宫颈扩张球囊促宫颈成熟后予小剂量催素静脉滴注引产,对照组直接给予小剂量催产素静脉滴注促宫颈成熟并引产,对两组产妇应用结果和新生儿结局进行比较。结果观察组产妇促宫颈成熟有效率(38例,95.00%)明显高于对照组(29例,72.50%)。由此可见,在促宫颈成功率方面,观察组明显优于对照组,两组间比较具有统计学差异(P<0.05)。胎儿窒息率、新生儿窒息率无统计学差异(P>0.05)。观察组与对照组新生儿Apgar评分分别为(8.79±0.08)分、(8.92±0.27)分,组间比较无统计学差异(P>0.05)。结论宫颈扩张囊球促宫颈成熟并引产效果好,其安全性强,并对新生儿结局影响小。因此,宫颈扩张囊球值得在临床应用推广。 Objective To compare the effects of cervical dilatation balloon and low dose oxytocin on cervical maturation and induction of labor,and to influence neonatal outcomes.Methods During the period from January,2016 to December,2017,80 women who were admitted to our hospital in accordance with the indications of induced labor were selected as the objects of this study,and were divided into control group and observation group,with 40 patients in each group.In the observation group,cervical dilatation balloon was given to promote cervical maturation,followed by intravenous infusion of low dose progesterone to induce labor,while the control group was given intravenous infusion of low dose oxytocin to promote cervical maturation and induce labor.Results The effective rate(38 cases,95.00%)was significantly higher than the control group(29 cases,72.50%).Therefore,the observation group was significantly superior to the control group in the success rate of promoting cervical cancer,and there was a statistically significant difference between the two groups(P<0.05).There was no significant difference in fetal and neonatal asphyxia rates(P>0.05).The Apgar score of the observation group and the control group was(8.79+0.08)and(8.92+0.27)respectively,and there was no significant difference between the groups(P>0.05).Conclusion The cervical dilatation balloon can promote cervical maturation and induce labor effectively.Therefore,cervical dilatation balloon is worthy of clinical application.
作者 黄洪萍 苏莉 陈婉露 Huang Hongping;Su Li;Chen Wanlu(Gynaecology and Obstetrics,Zhongxin Huizhou Hospital,Huizhou 516006,China)
出处 《哈尔滨医药》 2019年第3期237-239,共3页 Harbin Medical Journal
关键词 宫颈扩张球囊 小剂量催产素 宫颈成熟 新生儿结局 Cervical dilatation balloon Low dose of oxytocin Cervical maturation Neonatal outcome
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