双球囊导管用于足月妊娠促宫颈成熟及母婴结局对比研究  

Effect of Double-balloon Catheter on Cervical Ripening in Full-term Pregnancy and Its Influence of the Maternal-infant Outcomes

作　　者：聂爱宏[1] 饶晓艳[1] 杨春莲[1] 邦爱英 陈玲[1] 曾翠英 陈志方[1] 曾文娟[1] 官帅花[1] 

机构地区：[1]江西省丰城市人民医院,江西丰城331100

出　　处：《中国医学创新》2017年第25期12-15,共4页Medical Innovation of China

基　　金：2017年江西省卫生计生委科技计划课题(普通)(20177300)

摘　　要：目的:探讨足月妊娠孕妇采用双球囊导管促宫颈成熟的临床效果及其对母婴结局的影响。方法:将本院住院分娩的初产妇494例分为三组,以双球囊导管和控释地诺前列酮栓联合使用促宫颈成熟的产妇91例设为观察1组,以单纯控释地诺前列酮栓促宫颈成熟的产妇89例设为观察2组,以自然临产且阴道分娩的产妇314例设为对照组。比较三组的临床疗效。结果:观察1组促宫颈成熟总有效率为94.5%,显著高于观察2组65.2%,差异有统计学意义(P<0.05);观察1组阴道分娩率明显高于观察2组(P<0.05);三组总产程对比,观察1组最短、对照组最长(P<0.05);球囊和/或栓剂取出后,观察1组宫颈Bishop评分明显优于观察2组(P<0.05)。结论:双球囊导管应用于足月妊娠促宫颈成熟效果显著,可有效促宫颈成熟、缩短产程,且安全性较高,值得临床推广应用。Objective： To discuss the effect of double-balloon catheter on cervical ripening in full-term pregnancy and it＇s influence of the maternal-infant outcomes.Method： 494 primipara in our hospital were divided into three groups, the observation group 1 with 91 primipara was given double-balloon catheter and controlled-release Dinoprostone Suppositories on cervical ripening, the observation group 2 with 89 primipara was just given controlled- release Dinoprostone Suppositories on cervical ripening, the control group with 314 primipara was given spontaneous labor and vaginal delivery.The clinical effect among three groups were compared.Result： The total effective rate of cervical ripening in observation group 1 was 94.5%, higher than those of the observation group 2 of 65.2%, the was statistical significance （ P〈0.05 ） ; the vaginal delivery rate of the observation group 1 was significantly higher than those of the group 2 （ P〈0.05 ） ; the total stage of labor time, the observation group 1 was the shortest and the control group was the longest （ P〈0.05 ） .The cervical Bishop score after removal of balloon or （ and ） suppository, the observation group 1 was significantly better than the observation group 2 （P〈0.05） .Conclusion： Double- balloon catheter on cervical ripening in full-term pregnancy has a significant effect on cervical ripening, which can effectively improve cervical ripening, shorten total stage of labor time, has good safety, which is worthy of clinical application.

关 键 词：足月妊娠 促宫颈成熟 双球囊导管 控释地诺前列酮栓 

分 类 号：R714[医药卫生—妇产科学]