伴有合并症孕妇晚期妊娠不同催引产方法的临床应用  

Clinical application of different induced abortion methods in late pregnancy of pregnant women with complications

作　　者：杨丽娟 赵倩 何军晶[2] 王露露 祁文瑾[1] YANG Lijuan;ZHAO Qian;HE Junjing;WANG Lulu;QI Wenjin(Obstetrics Department,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China;Obstetrics Department,Kunming Maternal and Child Health Hospital,Kunming Yunnan 650031,China)

机构地区：[1]昆明医科大学第一附属医院产科,云南昆明650032 [2]昆明市妇幼保健院产科,云南昆明650031

出　　处：《云南医药》2025年第2期13-16,共4页Medicine and Pharmacy of Yunnan

基　　金：昆明市卫生科技人才千工程培养计划(2021-SW(后备)-61)。

摘　　要：目的探讨米索前列醇阴道片、缩宫素、宫颈扩张球囊不同用法在伴有合并症孕妇晚期妊娠引产方式中的临床效果,以期为临床诊疗提供一定的依据。方法选取150例孕妇,随机分为单用米索前列醇阴道片组(简称阴道片组)、缩宫素组、米索前列醇阴道片+宫颈扩张球囊组(简称米球组)三个组,每组50例。观察3组孕妇的不同临床指标和母儿结局。结果孕妇用药后,米球组孕妇宫颈评分最高。米球组治疗开始至临产时间、临产至分娩时间最低。米球组阴道分娩率高,不良母婴结局低。缩宫素组与米球组新生儿Apgar评分高于阴道片组。结论对于伴有合并症的晚期妊娠孕妇,合并宫颈条件不成熟时,米索前列醇阴道片联合宫颈扩张球囊的引产成功率高,分娩不良结局低,值得推荐。Objective To explore the clinical effects of different uses of misoprostol vaginal tablets,oxytocin and cervical dilation balloon in the induction of late pregnancy in pregnant women with complications,in order to provide a certain basis for clinical diagnosis and treatment.Methods A total of 150 pregnant women were randomly divided into three groups:misoprostol vaginal tablet group(referred to as vaginal tablet group),oxytocin group,and misoprostol vaginal tablet+cervical dilation balloon group(referred to as the rice ball group),with 50 cases in each group.Different clinical indicators and maternal and neonatal outcomes of the three groups of pregnant women were observed.Results After medication,the cervical score of pregnant women in rice ball group was the highest.The time from the beginning of treatment to labor and labor to delivery in the rice ball group were the lowest.The rice ball group had higher vaginal delivery rate and lower adverse maternal and infant outcomes.The Apgar score of newborns in the oxytocin group and the rice ball group was higher than that in the vaginal tablet group.Conclusions For late stage pregnant women with comorbidities and immature cervical conditions,the combination of misoprostol vaginal tablets and cervical dilation balloon has a high success rate of induced labor and low adverse delivery outcomes,which is worthy of recommendation.

关 键 词：合并症 妊娠晚期催引产方法 临床应用 

分 类 号：R719.3[医药卫生—妇产科学]