口服米索前列醇在晚期妊娠引产中促宫颈成熟的价值分析  

Analysis of the Value of Oral Misoprostol in Promoting Cervical Ripening During Induction of Labor in Late Pregnancy

作　　者：燕薇 YAN Wei(Department of Obstetrics,Yueyang maternal and child health hospital,Yueyang 414000,Hunan,China)

机构地区：[1]岳阳市妇幼保健院产科,湖南岳阳414000

出　　处：《系统医学》2024年第15期163-165,共3页Systems Medicine

摘　　要：目的 分析口服米索前列醇在晚期妊娠引产中促宫颈成熟的价值。方法 回顾性选取2022年2月-2023年11月岳阳市妇幼保健院收治的160例晚期妊娠产妇的临床资料,依照用药治疗方式分为两组,每组80例,参照组使用地诺前列酮栓,观察组使用米索前列醇治疗,比较两组的宫颈评分、时间指标、产后出血量、新生儿窒息发生率。结果 观察组的宫颈评分(8.29±1.02)分高于参照组(7.17±1.14)分,差异有统计学意义(t=6.725,P<0.05)。观察组的时间指标及产后出血量均优于参照组,差异有统计学意义(P均<0.05)。观察组的新生儿窒息发生率略低于参照组,差异无统计学意义(P>0.05)。结论 在为晚期妊娠产妇引产时,选用口服米索前列醇治疗可以促进宫颈成熟,加快分娩效率,且不增加新生儿窒息的发生率。Objective To analyze the value of oral misoprostol in promoting cervical maturation in late pregnancy in-duced labor.Methods Clinical data of 160 cases of late pregnancy parturient admitted to Yueyang Maternal and Child Health Hospital from February 2022 to November 2023 were retrospectively selected and divided into two groups ac-cording to medication treatment methods,with 80 cases in each group.The reference group was treated with Dinopros-tol supposition,and the observation group was treated with misoprostol.Cervical score,time index,postpartum blood loss and incidence of neonatal asphyxia were compared between the two groups.Results The cervical score of observa-tion group was 8.29±1.02,higher than 7.17±1.14 of reference group,and the difference was statistically significant(t=6.725,P<0.05).The time indexes and postpartum blood loss of the observation group were better than those of the ref-erence group,and the differences were statistically significant(all P<0.05).The incidence of neonatal asphyxia in the observation group was slightly lower than that in the reference group,the difference was not statistically significant(P>0.05).Conclusion Oral misoprostol can promote cervical maturation,accelerate delivery efficiency,and not increase the incidence of neonatal asphyxia.

关 键 词：口服米索前列醇 晚期妊娠 引产 宫颈评分 

分 类 号：R719.3[医药卫生—妇产科学]