子宫颈扩张球囊与欣普贝生在足月妊娠引产过程中使用效果对比分析
Balloon dilatation of the cervix and pubeisheng on labor induction of full-term pregnancy use of oxytocin, mode of delivery and the analysis of the occurrence of adverse reactions
陈李芳 1周静 1朱彦霏 1罗霞 1王毅1
作者信息
- 1. 丽水市妇幼保健院 产科,浙江 丽水 323000
- 折叠
摘要
目的 探讨子宫颈扩张球囊与欣普贝生对足月妊娠引产催产素使用情况、分娩方式和不良反应发生情况的影响.方法 回顾性分析2014年10月～2015年11月在丽水市妇幼保健院妇产科引产的足月妊娠妇女的临床资料,根据其引产的方式分为欣普贝生组和子宫颈扩张球囊组.观察2 组分娩方式、催产素使用率、母婴结局和不良反应的差异.结果 子宫颈扩张球囊组经阴道分娩率为90.38％,高于欣普贝生组( P< 0.05);催产素使用率为11.54％,低于欣普贝生组( P< 0.05);子宫颈扩张球囊组第一、第二和第三产程时间较欣普贝生组短( P< 0.001);子宫颈扩张球囊组出血量较欣普贝生组少( P< 0.001),2组感染、尿潴留等并发症发生率无明显差异;2组新生儿吸入性肺炎发生率无差异,出生后1 min的Apgar评分无差异,而子宫颈扩张球囊组新生儿出生后5 min的Apgar评分高于欣普贝生组( P< 0.05).结论 与欣普贝生相比,子宫颈扩张球囊在足月妊娠引产中的应用效果较好,可明显提高孕妇的经阴道分娩率,降低催产素使用率,缩短产程,具有临床推广应用价值.
Abstract
Objective To investigate the effect of labor induction of full-term pregnancy use of oxytocin,and the incidence of adverse reactions of mode of delivery of cervical dilatation balloon with pubeisheng.Methods The clinical data of full-term pregnant women who were delivered in our hospital from October 2014 to November 2015 were retrospectively analyzed,According to the induction of labor is divided into the way of pubeisheng group and cervical dilation balloon group.The differences of delivery mode,oxytocin utilization,maternal and neonatal outcomes and adverse reactions were observed between the two groups.Results Cervical dilatation balloon group vaginal delivery rate was 90.38％,higher than that of pubeisheng group(P<0.05); oxytocin use rate of 11.54％,lower than that of pubeisheng group(P<0.05); Cervical dilatation balloon group first,second and third labor time is shorter pubeisheng group(P<0.001); The cervical dilation balloon group bleeding more than pubeisheng group(P<0.001),two groups of infection,urinary retention complication rate had no significant difference.Two groups of neonatal aspiration pneumonia incidence rate had no significant difference after the birth of 1min Apgar score difference,and cervical dilatation balloon group after the birth of 5min Apgar was higher than that of pubeisheng group(P<0.05).Conclusion The application of cervical dilation balloon in the induction of labor in term pregnancy is better,which can significantly improve the rate of vaginal delivery,reduce the use rate of oxytocin and shorten the labor process,and has the value of clinical application.
关键词
子宫颈/欣普贝生/妊娠/引产Key words
cervical/pubeisheng/pregnancy/abortion引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据