Foley尿管小水囊与缩宫素联合用于足月妊娠引产的效果与安全性分析  

Effect and Safety Analysis of Foley’s Small Urinary Sac Combined with Oxytocin in Induction of Labor in Term Pregnancy

作　　者：丁秀梅 庄莉莉 赵飞 DING Xiu-mei;ZHUANG Li-li;ZHAO Fei(Department of Obstetrics,Sunshine Ronghe Hospital,Weifang,Shandong Province,261041 China;Department of Obstetrics and Gynecology,PLA 80th Military Hospital,Weifang,Shandong Province,261021 China)

机构地区：[1]阳光融和医院产科,山东潍坊261041 [2]解放军第80集团军医院妇产科,山东潍坊261021

出　　处：《中外医疗》2020年第3期84-86,共3页China & Foreign Medical Treatment

摘　　要：目的研究Foley尿管小水囊与缩宫素联合用于足月妊娠引产的效果与安全性。方法方便选取该院2017年8月-2018年7月收治的82例足月妊娠产妇作为研究对象,按照入院先后顺序分为对照组(41例)与观察组(41例),对照组采用缩宫素引产,观察组采用Foley尿管小水囊联合缩宫素引产。比较两组的临床各项指标。结果观察组足月妊娠产妇的宫颈Bishop评分(8.79±1.48)分高于对照组的(6.66±1.17)分,NRS评分及剖宫产率分别为(3.05±0.74)分、2.44%,低于对照组的(4.53±0.96)分、29.27%,差异有统计学意义(t=7.229、7.818,χ~2=11.061,P<0.05);观察组产妇的缩宫素静滴时间(7.56±1.20)h、引产时间(18.06±6.74)h、总产程时间(6.78±1.74)h均短于对照组的(12.26±2.59)h、(34.65±8.20)h、(12.76±3.17)h,产后出血量(148.76±24.76)mL少于对照组的(210.38±33.66)mL,差异有统计学意义(t=10.543、10.008、10.589、9.442,P<0.05);两组的妊娠结局进行比较,差异无统计学意义(P>0.05)。结论足月妊娠产妇引产中采用小水囊联合缩宫素能有效缩短缩宫素静滴时间和产程,促进宫颈成熟和减轻疼痛,引产有效率及临床安全性均较高。Objective To study the effect and safety of small water sac combined with oxytocin for induction of labor in term pregnancy. Methods Convenient selected eighty-two full-term pregnant women admitted to the hospital from August2017 to July 2018 were enrolled in the study. They were divided into the control group(41 cases) and the observation group(41 cases) according to the order of admission.Miyasu induced labor,and the observation group used small water sac combined with oxytocin to induce labor.Compare the clinical indicators of the two groups. Results The cervical Bishop score(8.79±1.48) points of the maternal pregnancy in the observation group was higher than that of the control group(6.66±1.17)points,and the NRS score and cesarean section rate were(3.05±0.74) points and 2.44%,respectively. The difference between the group(4.53±0.96) points and 29.27%,the difference was statistically significant(t=7.229,7.818,χ~2=11.061,P<0.05).The oxytocin infusion time of the observation group(7.56±1.20) h. The time of induction of labor(18.06±6.74) h and total labor time(6.78±1.74) h were shorter than those of the control group(12.26±2.59) h,(34.65±8.20) h,(12.76±3.17) h,postpartum hemorrhage(148.76±24.76)mL was less than the control group(210.38±33.66) mL,the difference was statistically significant(t=10.543,10.008, 10.589,9.442,P<0.05);the pregnancy outcomes of the two groups were compared,the difference was not statistically significant(P>0.05). Conclusion The use of small water sac combined with oxytocin in the induction of labor in full-term pregnancy can effectively shorten the time and labor process of oxytocin,promote cervical ripening and relieve pain,and have high induction rate and clinical safety.

关 键 词：足月妊娠 Foley尿管小水囊 缩宫素 引产 安全性 

分 类 号：R246.3[医药卫生—针灸推拿学]