宫颈扩张双球囊导管和控释地诺前列酮栓促宫颈成熟的比较研究  

A comparative study on promoting effects of cervical dilatation double-balloon catheter and controlled-release dinoprostone suppository on cervical ripening

作　　者：黎燕[1,2] 苏放明[1,2] 高宇[1,2] 李朝曦[1,2] 

机构地区：[1]暨南大学第二临床学院 [2]深圳市人民医院产科,广东深圳518020

出　　处：《中国妇幼保健》2013年第11期1822-1825,共4页Maternal and Child Health Care of China

摘　　要：目的:比较宫颈扩张双球囊导管和控释地诺前列酮栓用于妊娠晚期促宫颈成熟的有效性。方法:选取足月妊娠、具有引产指征、宫颈Bishop评分≤4分的62例初产妇,随机分成球囊组30例和药物组32例,比较两组的促宫颈成熟效果及24 h内阴道分娩率。结果:球囊组促宫颈成熟的显效率及有效率均显著高于药物组(93.3%vs 43.8%,P<0.01;100.0%vs78.1%,P<0.01);24 h内阴道分娩率球囊组显著高于药物组(53.3%vs 25.0%,P<0.05)。结论:对低评分宫颈不成熟的妊娠晚期患者,应用宫颈扩张双球囊促宫颈成熟的效果及24h内引产成功率均优于应用控释地诺前列酮栓。Objective ： To compare the effectivenesses of cervical dilatation double - balloon catheter and controlled - release dino- prostone suppository for promoting cervical ripening during the third trimester of pregnancy. Methods ： Sixty - two primiparous women of full -term pregnancy, with indications of induced abortion, and cervical Bishop score ~〈 4 were selected and randomly divided into balloon group （ 30 women） and drug group （ 32 women） ; the promoting effects of the two methods on cervical ripening and 24 - hour vaginal delivery rates in the ~ro groups were compared. Results： The obviously effective rate and effective rate in balloon group were 93.3% and 100. 0% , respectively, which were statistically significantly higher than those in drug group （43.8% and 78. 1% , respectively） （P 〈 0. 01 ） ; 24 - hour vaginal delivery rate in balloon group （53.3%） was statistically significantly higher than that in drug group （25. 0% ） （P 〈0. 05） . Conclusion ： The promoting effect of double - balloon catheter on cervical ripening and 24 - hour vaginal delivery rate are better than those of controlled - release dinoprostone suppository for patients with immature cervix and low cervical score during the third trimester of pregnan- cy.

关 键 词：引产 宫颈扩张双球囊导管 控释地诺前列酮栓 促宫颈成熟 

分 类 号：R714.3[医药卫生—妇产科学]