首页|间苯三酚联合缩宫素在足月妊娠孕妇引产中的应用效果

间苯三酚联合缩宫素在足月妊娠孕妇引产中的应用效果

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目的:观察间苯三酚联合缩宫素在足月妊娠孕妇引产中的应用效果.方法:回顾性分析 2021 年 1 月至 2023 年 10 月该院收治的 80 例足月妊娠需引产分娩孕妇的临床资料,按不同治疗方法将其分为观察组与对照组各 40 例.对照组采用缩宫素治疗,观察组在对照组基础上联合间苯三酚治疗.比较两组宫颈成熟度评分、分娩疼痛程度[视觉模拟评分法(VAS)]评分、应激指标[皮质醇(Cor)、儿茶酚胺(CA)]水平、产程、分娩方式,以及不良反应发生率.结果:治疗12 h后,两组Bishop评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组宫口扩张 3 cm、6 cm、全开时的VAS评分均低于对照组,差异有统计学意义(P<0.05);产后,两组Cor、CA水平均低于产前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组第一、第二、第三产程均短于对照组,差异有统计学意义(P<0.05);观察组自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:间苯三酚联合缩宫素应用于足月妊娠孕妇引产中可提高宫颈成熟度评分和自然分娩率,缩短产程,降低VAS评分、应激指标水平和剖宫产率,其效果优于单纯缩宫素治疗.
Application effects of Phloroglucinol combined with Oxytocin in induced labor of full-term pregnant women
Objective:To observe application effects of Phloroglucinol combined with Oxytocin in induced labor of full-term pregnant women.Methods:The clinical data of 80 full-term pregnant women who needed induced labor in this hospital from January 2021 to October 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,40 cases in each group.The control group was treated with Oxytocin,while the observation group was treated with Phloroglucinol on the basis of that of the control group.The cervical ripeness score,the labor pain degree[visual analogue scale(VAS)]scores,the stress index[cortisol(Cor),catecholamine(CA)]levels,the stage of labor,the delivery mode,and the incidence of adverse reactions were compared between the two groups.Results:After 12 hours of treatment,the Bishop scores of the two groups were higher than those before treatment,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The VAS scores of cervical dilatation at 3 cm,6 cm and full opening in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After delivery,the levels of Cor and CA in the two groups were lower than those before delivery,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The first,second and third stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,the cesarean section rate was lower than that of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Phloroglucinol combined with Oxytocin in induced labor of the full-term pregnant women can improve the cervical ripeness scores and the natural delivery rate,shorten the stage of labor,and reduce the VAS scores,the stress index levels and the cesarean section rate.Moreover,it is superior to single Oxytocin treatment.

Full-term pregnancyInduced laborOxytocinPhloroglucinolCervical ripenessPainStage of labor

吴晶、黎俐

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南城县中医院妇产科,江西 抚州 344700

足月妊娠 引产 缩宫素 间苯三酚 宫颈成熟度 疼痛 产程

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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