Foley球囊放置联合静滴缩宫素在足月妊娠初产妇分娩中的应用效果  

Application effects of Foley balloon placement combined with intravenous Oxytocin in delivery of full-term pregnancy primiparas

作　　者：谢嘉蓉 曾秋莹 方丽珊[1] XIE Jiarong;ZENG Qiuying;FANG Lishan(Department of Obstetrics of Affiliated Hospital of Putian University,Putian 351100 Fujian,China)

机构地区：[1]莆田学院附属医院产科,福建莆田351100

出　　处：《中国民康医学》2022年第18期41-43,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Foley球囊放置联合静滴缩宫素在足月妊娠初产妇分娩中的应用效果。方法:选取2020年3月至2021年3月该院收治的63例足月妊娠初产妇进行前瞻性研究,按照随机数字表法分为观察组32例与对照组31例。对照组予以缩宫素注射液治疗,观察组在对照组基础上予以Foley球囊放置治疗,比较两组不同时间宫颈成熟度水平,产程时间,产后出血发生率,产后2 h、12 h出血量,新生儿出生5 min Apgar评分,胎儿宫内窘迫发生率及新生儿窒息发生率。结果:治疗6 h、12 h,两组Bishop评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组第一产程、第二产程和总产程时间均短于对照组,差异有统计学意义(P<0.05);观察组产后出血发生率为9.38%,明显低于对照组的29.03%,差异有统计学意义(P<0.05);观察组产后2 h、12 h出血量明显少于对照组,差异有统计学意义(P<0.05);两组新生儿出生5 min Apgar评分、胎儿宫内窘迫发生率和新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论:Foley球囊放置联合静滴缩宫素应用于足月妊娠初产妇分娩可提高Bishop评分,缩短产程时间,降低产后出血发生率,以及减少产后出血量,效果优于单纯静滴缩宫素。Objective:To observe application effects of Foley balloon placement combined with intravenous Oxytocin in delivery of fullterm pregnancy primiparas.Methods:A prospective study was performed on 63 full-term primiparas admitted to this hospital from March 2020 to March 2021,and they were divided into observation group(32 cases)and control group(31 cases)according to the random number table method.The control group was treated with Oxytocin injection,while the observation group was treated with Foley balloon placement on the basis of that of the control group.The level of cervical ripeness,the labor time,the incidence of postpartum hemorrhage,the 2 h and 12 h postpartum hemorrhage volume,the Apgar score 5 min after birth,the incidence of fetal distress and the incidence of neonatal asphyxia were compared between the two groups.Results:After 6 h of treatment and 12 h of treatment,the Bishop scores of the two groups were higher than those before the treatment,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The first stage of labor,the second stage of labor and total labor time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postpartum hemorrhage in the observation group was 9.38%,which was significantly lower than 29.03%in the control group,and the difference was statistically significant(P<0.05).The 2 h and 12 h postpartum hemorrhage volume in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).However,there were no significant difference in the Apgar score 5 min after birth,the incidence of fetal distress and the incidence of neonatal asphyxia between the two groups(P>0.05).Conclusions:Foley balloon placement combined with intravenous Oxytocin for the full-term pregnancy primiparas can improve the Bishop score,shorten the labor time,and reduce the inc

关 键 词：足月妊娠初产妇 缩宫素 Foley球囊 产后出血 新生儿 BISHOP评分 

分 类 号：R714[医药卫生—妇产科学]