延期妊娠促宫颈成熟方法的临床分析  

Clinical Analysis of Methods to Promote Cervical Maturity by Delayed Pregnancy

作　　者：邹海燕 ZOU Hai-yan(Department of Obstetrics,Shenxian People's Hospital,Shenxian,Shandong Province,252400 China)

机构地区：[1]莘县人民医院产科,山东莘县252400

出　　处：《中外医疗》2020年第20期4-6,共3页China & Foreign Medical Treatment

摘　　要：目的探究延期妊娠女性采取不同促宫颈成熟方式得到的临床效果。方法方便选取2017年4月—2019年10月该医院收入的220例延期妊娠女性实施课题研究,将采用地诺前列酮栓促宫颈成熟方式的70例归入实验1组,将采用米索前列醇促宫颈成熟方式的70例归入实验2组,将采用缩宫素促宫颈成熟方式的80例归入实验3组,记录促宫颈成熟成功占比率、剖宫产率、产妇并发症及新生儿并发症状况。结果实验1组促宫颈成熟成功占比率对比于实验2组、实验3组评估项目增加(98.57%vs 90.00%、68.75%),实验1组剖宫产率对比于实验2组、实验3组评估项目减少(1.43%vs 10.00%、31.25%),各项数据间差异有统计学意义(P<0.05);实验1组产妇产后出血例数、产妇先兆子宫破裂例数、新生儿窒息例数对比于实验2组、实验3组评估项目减少(1例、0例、0例vs 2例、1例、2例及3例、2例、1例),各项数据间差异无统计学意义(P>0.05)。结论为延期妊娠女性选用地诺前列酮栓促宫颈成熟方式的临床效果优于米索前列醇促宫颈成熟方式及缩宫素促宫颈成熟方式。Objective To explore the clinical effects of different methods of promoting cervical ripening in women with delayed pregnancy.Methods The research data of 220 cases of delayed pregnant women who were admitted to the hospital from April 2017 to October 2019 were convenient selected in the study.70 cases of dinoprostone suppository to promote cervical maturation were included in the first group.70 cases of somatoprost used to promote cervical ripening were included in experiment group 2,and 80 cases of oxytocin used to promote cervical ripening were included in experiment group 3.The proportion of successful cervical ripening promotion,cesarean section rate,and maternal complications and neonatal complications were recorded.Results The proportion of successful cervical maturation promotion in the experimental group 1 increased compared with the evaluation items in the experimental group 2 and experimental group 3(98.57%vs 90.00%,68.75%),and the cesarean section rate in the experimental group 1 compared to the experimental group 2,the evaluation items in the experimental group 3 decreased(1.43%vs 10.00%,31.25%),the difference was statistically significant(P<0.05);the experimental group 1 had postpartum hemorrhage cases,maternal threatened uterine rupture cases,newborns number of asphyxia cases was relatively decreased compared with the evaluation items of the experimental group 2 and the experimental group 3(1 case,0 cases,0 cases vs 2 cases,1 case,2 cases and 3 cases,2 cases,1 case).The difference was not statistically significant(P>0.05).Conclusion The clinical effect of selecting dinoprostone suppository for cervical ripening for delayed pregnancy women is superior to misoprostol for cervical ripening and oxytocin for cervical ripening.

关 键 词：延期妊娠 促宫颈成熟 引产 

分 类 号：R5[医药卫生—内科学]