摘要
目的探讨足月产妇引产应用不同方法对促宫颈成熟影响作用的效果。方法选取温岭市妇幼保健院2015年6月至2017年6月697例足月产妇的临床资料进行回顾性分析,并根据促宫颈成熟方法将所有产妇分为前列腺素欣普贝生组281例、双腔球囊组300例和缩宫素组116例。比较三组产妇的分娩方式、宫颈评分及新生儿并发症等情况。结果三组剖宫产率比较存在明显差异(χ~2=10.35,P<0.01),缩宫素组剖宫产率(70.69%)显著高于前列腺素欣普贝生组(21.71%)和双腔球囊组(23.33%)(χ~2值分别为84.08、66.76,均P<0.01)。三组产妇促宫颈成熟总有效率比较,存在明显差异(χ~2=7.25,P<0.01),前列腺素欣普贝生组与双腔球囊组促宫颈成熟情况比较差异无统计学意义(P>0.05),缩宫素组与前列腺素欣普贝生组、双腔球囊组促宫颈成熟情况比较,均存在明显差异(χ~2值分别为135.35、111.08,均P<0.01)。三组产妇临产时间、总产程及产后出血量比较,均存在明显差异(F值分别为16.23、12.17、27.34,均P<0.01),前列腺素欣普贝生组与双腔球囊组临产时间、总产程及产后出血量比较差异无统计学意义(P>0.05),缩宫素组与前列腺素欣普贝生组临产时间、总产程及产后出血量比较存在明显差异(t值分别为-41.98、-54.73、-30.56,均P<0.01),与双腔球囊组比较,亦存在明显差异(t值分别为-43.18、-55.39、-28.30,均P<0.01)。三组产妇羊水粪染、新生儿窒息及胎儿窘迫发生率比较,均无明显差异(均P>0.05)。结论前列腺素欣普贝生及双腔球囊在足月产妇促宫颈成熟和引产过程疗效更佳,且安全、方便、不良反应少,临床上值得推广。
Objective To investigate the effect of different methods on promoting cervical ripening in induced labor of full-term parturient.Methods The clinical data of 697 full-term pregnant women from June 2015 to June 2017 in Wenling Maternal and Child Health Hospital were retrospectively analyzed.According to cervical ripening methods,697 women were divided into prostaglandin dinoprostone group with 281 cases,double-lumen balloon group with 300 cases and oxytocin group with 116 cases.The delivery modes,maternal cervical score and neonatal complications were compared among three groups.Results The difference in cesarean section rate was significant among three groups(χ~2=10.35,P<0.01),and the rate in oxytocin group(70.69%)was significantly higher than that of prostaglandin dinoprostone group(21.71%)and double-lumen balloon group(23.33%)(χ~2 value was 84.08 and 66.76,respectively,both P<0.01).There was significant difference among three groups in total effective rate of promoting cervical ripening(χ~2=7.25,P<0.01),but the difference between prostaglandin dinoprostone group and double-lumen balloon group was not significant(P>0.05).The degree of promoting cervical ripening in oxytocin group was significantly different from that in prostaglandin dinoprostone group and double-lumen balloon group(χ~2 value was 135.35 and 111.08,respectively,both P<0.01).There were significant differences in labor time,total labor process and postpartum hemorrhage among three groups(F value was 16.23,12.17 and 27.34,respectively,all P<0.01),but the differences in labor time,total labor process and postpartum hemorrhage between prostaglandin dinoprostone group and double-lumen balloon group were not significant(P>0.05).There were significant differences in labor time,total labor process and postpartum hemorrhage between oxytocin group and prostaglandin dinoprostone group(t value was-41.98,-54.73 and-30.56,respectively,all P<0.01).The differences in labor time,total labor process and postpartum hemorrhage were significant between oxytocin gr
作者
滕永军
盛芝敏
陈伟
TENG Yongjun;SHENG Zhimin;CHEN Wei(Maternal and Child Health Hospital of Wenling City,Zhejiang Wenling 317500,China)
出处
《中国妇幼健康研究》
2019年第1期89-92,共4页
Chinese Journal of Woman and Child Health Research
关键词
前列腺素欣普贝生
双腔球囊
缩宫素
足月产妇
prostaglandin dinoprostone
double-lumen balloon
oxytocin
full-term parturient
