低位水囊引产治疗低宫颈评分产妇的临床价值评估  

Evaluation of Clinical Value of Inducing Hypogastric Sac in Inducing Low Cervical Graded Maternal Women

作　　者：张凤卫 ZHANG Feng-wei(Obstetrics and Gynecology Department,Suining People’s Hospital,Suining,Jiangsu Pmvinee,221200 China)

机构地区：[1]睢宁县人民医院妇产科,江苏睢宁221200

出　　处：《中外医疗》2018年第18期37-39,64,共4页China & Foreign Medical Treatment

摘　　要：目的评估低位水囊引产治疗低宫颈评分产妇的临床价值。方法研究对象方便选自2016年11月—2017年11月期间该院收治的低宫颈评分产妇88例,将产妇随机分为对照组或观察组,每组44例,对照组产妇接受催产素引产,而观察组产妇则接受低位水囊引产,比较两组产妇第一、二、三产程所需时间与总产程时间,同时记录两组产妇分娩结局(剖宫产、胎儿窘迫、新生儿窒息)、两组产妇产后12 h Bishop评分与产后出血量。结果对照组产妇第一产程为(3.03±0.18)h,第二产程为(35.81±1.51)min,第三产程为(20.54±1.25)min,总产程为(15.56±0.18)h;观察组产妇第一产程(3.29±0.11)h,第二产程为(34.14±1.84)min,第三产程为(19.33±1.04)min,总产程为(10.52±0.46)h。观察组产妇第一产程所需时间与总产程时间显著短于对照组产妇(P<0.05),而第二产程、第三产程所需时间与对照组比较差异无统计意义(P>0.05);观察组产妇剖宫产率的22.73%,显著低于对照组产妇的56.82%(χ~2=10.67,P<0.05),但对照组产妇胎儿窘迫发生率31.82%与观察组产妇胎儿窘迫发生率22.73%,比较差异无统计学意义(χ~2=0.91,P>0.05),对照组产妇新生儿窒息发生率为18.18%,观察组产妇新生儿窒息发生率为9.09%,差异无统计学意义(χ~2=1.54,P>0.05),观察组产妇经低位水囊引产后12 h Bishop评分(4.87±1.54)分低于对照组产妇(6.95±1.84)分,同时产后出血量(130.25±1.12)m L少于对照组产妇(160.84±1.18)m L,以上数据均经过比较,差异有统计学意义(t=2.55,49.80,P<0.05)。结论低位水囊引产治疗低宫颈评分患者可显著提高宫颈Bishop评分,从而促进其分娩成功率的提高,临床可大力应用、推广。Objective This paper tries to evaluate the clinical value of low-level water sac induced labor in the treatment of low cervix score. Methods The study subjects were selected from 88 cases of low cervical score maternal treated in the hospital from November 2016 to November 2017. Maternal births were convenient selected and randomly divided into control group or observation group, 44 cases in each group. Control group maternal received oxytocin induction. Maternal women in the observation group received low-level water-sac in induction labor. The maternity time of the first stage of labor, the second stage of labor, the third stage of labor and the total stage of labor were compared between the two groups. Maternal delivery outcomes（cesarean section, fetal distress, neonatal Asphyxia）, Bishop score and postpartum hemorrhage 12 h were recorded. Results The first stage of labor of the control group was（3.03±0.18）h, the second stage of labor was（35.81±1.51）min, the third stage of labor was（20.54±1.25）min, and the total stage of labor was（15.56±0.18）h. The first stage of labor of the observation group was（3.29±0.11）h. The second stage of labor was（34.14±1.84）min, the third stage of labor was（19.33±1.04）min, and the total stage of production was（10.52±0.46）h. The time required for the first stage of labor in the observation group was significantly shorter than that of the control group（P〈0.05）, but there was no significant difference between the second stage of production and the third stage of production（P〉0.05）. 22.73% of the maternal cesarean section rate was significantly lower in the group than in the control group（56.82%）（χ~2=10.67, P〈0.05）, but the maternal fetal distress rate in the control group was 31.82% and the incidence of fetal distress in the observation group was 22.73%. There was no significant difference（χ~2=0.91, P〉0.05）. In the control group, the incidence of neonatal asphyxia was 18.18%. The incidence rate of neonatal asphyxi

关 键 词：宫颈评分 低位水囊 引产 催产素 

分 类 号：R719[医药卫生—妇产科学]