目的 探讨与分析择期宫颈环扎联合间苯三酚治疗宫颈机能不全对孕妇妊娠结局的影响.方法 方便选取2017年7月—2023年2月于日照市中心医院诊治的宫颈机能不全孕妇74例作为研究对象,根据随机数表法分为间苯三酚组37例与对照组37例.对照组给予择期宫颈环扎治疗,间苯三酚组在对照组治疗的基础上给予间苯三酚治疗,记录两组的妊娠结局.结果 间苯三酚组的手术时间、术中出血量、术后住院天数均优于对照组,差异有统计学意义(P均<0.05);间苯三酚组分娩孕周明显多于对照组,差异有统计学意义(P<0.05);间苯三酚组的宫内感染率、晚期流产率、足月分娩率分别为5.41%、2.70%、94.59%,均优于对照组的21.62%、18.92%、78.38%,差异有统计学意义(χ2=4.162、5.045、4.162,P均<0.05);间苯三酚组的围产儿存活率显著高于对照组,差异有统计学意义(P<0.05);且间苯三酚组存活围产儿的出生体质量、5 min Apgar评分、1 min Apgar评分均高于对照组,差异有统计学意义(P均<0.05).结论 择期宫颈环扎联合间苯三酚治疗宫颈机能不全能促进患者康复,延长分娩孕周,改善存活围产儿的出生结局.
Effect of Elective Cervical Ceration Combined with Phloroglucinol on Pregnancy Outcomes of Pregnant Women with Cervical Incompetence
Objective To explore and analyze the effect of selective cervical ceration combined with phloroglucinol on the pregnancy outcome of pregnant women with cervical incompetence.Methods 74 pregnant women with cervical in-competence who were treated and treated in Rizhao Central Hospital from July 2017 to February 2023 were conve-niently selected as the study objects,and were divided into phloroglucinol group(37 cases)and control group(37 cases)according to random number table method.The control group was given elective cervical cerigation treatment,and the phloroglucinol group was given phloroglucinol treatment on the basis of the control group.The pregnancy out-comes of the two groups were recorded.Results The operative time,intraoperative blood loss and postoperative hospi-talization days in phloroglucinol group were better than those in control group,and the differences were statistically significant(all P<0.05).The gestational time of delivery in phloroglucinol group was significantly longer than that in control group,and the difference was statistically significant(P<0.05).The intrauterine infection rate,late abortion rate and term delivery rate in phloroglucinol group were 5.41%,2.70%and 94.59%,respectively,which were better than 21.62%,18.92%and 78.38%in control group,and the differences were statistically significant(χ2=4.162,5.045,4.162,all P<0.05).The perinatal survival rate in phloroglucinol group was significantly higher than that in control group,and the difference was statistically significant(P<0.05).In addition,the birth weight,5 min Apgar score and 1 min Apgar score of surviving perinatal infants in phloroglucinol group were higher than those in control group,and the differences were statistically significant(all P<0.05).Conclusion Selective cervical ceration combined with phloroglu-cinol in treatment of cervical dysfunction can promote the recovery of patients,prolong the gestational age of delivery,and improve the birth outcome of surviving perinatal infants.
万方数据
维普
