不同促宫颈成熟方法用于足月妊娠的效果比较  

Prognostic effect of intrauterine pregnancy induced by different methods of cervical ripening

作　　者：田圆圆[1] Tian Yuanyuan.(Department of Obstetrics and Gynecology, Maternal and Child Health Care Hospital of Changxing County, Zhejiang 313100,China)

机构地区：[1]浙江省长兴县妇幼保健院妇产科,313100

出　　处：《中国基层医药》2018年第9期1117-1120,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省湖州市科研计划项目（2015GY54）

摘　　要：目的 比较不同促宫颈成熟方法在足月妊娠引产中的预后效果.方法 选取足月妊娠初产妇160例为研究对象,按照促宫颈成熟方法的不同将产妇分为两组,观察组（n=80）行地诺前列酮栓引产,对照组（n=80）行静脉滴注小剂量缩宫素引产.观察两组宫颈Bishop评分、促宫颈成熟效果、引产情况、分娩方式、新生儿结局.结果 用药前两组Bishop评分差异无统计学意义（t=0.436,P〉0.05）,用药24 h观察组Bishop评分为（8.3±2.6）分,优于对照组的（5.9±2.0）分（t=6.544,P〈0.05）.观察组促宫颈成熟总有效率95.0％,高于对照组的66.2％（Z=-5.716,P〈0.05）.观察组用药至临产时间为（12.6±4.5）h,显著短于对照组的（21.7±7.8）h（t=9.039,P〈0.05）,两组总产程、产后出血量差异均无统计学意义（t=2.298、1.102,均P〉0.05）.观察组阴道分娩66例（82.5％）,剖宫产14例（17.5％）,对照组分别为49例（61.2％）、31例（38.8％）,分娩方式观察组显著优于对照组（χ2=8.935,P〈0.05）.两组新生儿出生体质量及出生后1 min、5 min Apgar评分差异均无统计学意义（均P〉0.05）.结论 足月妊娠产妇采用地诺前列酮栓引产,能够提高宫颈Bishop评分及促宫颈成熟效果,提升分娩质量,效果优于缩宫素.Objective To investigate the effect of different cervical ripening methods on induction of labor in term pregnancy. Methods 160 cases of labor induction of full - term pregnancy primipara were selected as the research subjecs. According to the different methods of cervical ripening, they were divided into two groups. The observation group （ n = 80） underwent dinoprostone suppositories induced labor, the control group （ n = 80） received intravenous infusion of small dose of oxytocin. The cervical Bishop score, cervical ripening effect, induction of labor, mode of delivery, neonatal outcome were observed in the two groups. Results Before treatment, the Bishop scores of the two groups had no statistically significant difference （ t = 0.436, P 〉 0.05 ）. After treatment for 24h, the Bishop score of the observation group was （ 8.3 ± 2.6） Points, which was higher than （5.9 ± 2.0） points of the control group （ t = 6. 544 ,P 〈 0. 05 ）. In the observation group, the total effective rate of cervical ripening was 95.0%, which was higher than 66.2% of the control group （Z = -5. 716 ,P 〈 0.05 ）, The duration of labor in the observation group was （ 12.6 ± 4.5 ） h, which was significantly shorter than （21.7 ± 7.8 ） h in the control group （ t = 9. 039, P 〈 0. 05 ）. The total labor, postpartum hemorrhage volume had no statistically significant differences between the two groups （ t = 2. 298,1. 102,all P 〉0.05）. In the observation group,66cases （82.5%） were vaginal delivery, 14cases（ 17.5% ） were cesarean section,those were 49cases（61.2% ） and 31cases（38.8% ） in the control group. The delivery mode of the observation group was significantly better than that of the control group （ χ2 = 8. 935, P 〈 0.05）. There were no statistically significant difference between the two groups in neonatal birth weight and postnatal lmin and 5min Apgar scores （all P 〉 0. 05）. Conclusion Parturient with dinoprostone suppositories full - term pregnancy abortion can i

关 键 词：宫颈成熟 足月妊娠 引产 地诺前列酮栓 

分 类 号：R719.3[医药卫生—妇产科学]