低位水囊促子宫颈成熟的临床观察

时间:2022-03-13 09:41:34 公文范文 来源:网友投稿

  【摘要】 目的:探讨低位水囊在促子宫颈成熟中的临床效果与应用安全性,为提高足月妊娠促子宫颈成熟效果提供参考。方法:选取2013年
  9月-2015年10月笔者所在医院收治的98例足月妊娠待产孕妇,按照随机数字法将入选孕妇分为观察组与对照组,各组49例,对照组静脉滴注缩宫素实施引产,观察组则经低位水囊引产,根据Bishop评分(子宫颈成熟度评分法)评价两组促子宫颈成熟效果,观察分娩结局。结果:观察组促子宫颈成熟有效率明显高于对照组(98.0% vs 79.6%),差异有统计学意义(P<0.05);两组分娩方式、产后出血量、新生儿窒息率及脐带脱垂率各项母婴指标对比差异无统计学意义(P>0.05)。结论:低位水囊促子宫颈成熟效果好,而且对母婴无不良影响,临床应用及推广价值较高。
  【关键词】 低位水囊; 促子宫颈成熟; 应用效果; 安全性评价
  doi:10.14033/j.cnki.cfmr.2018.5.007 文献标识码 B 文章编号 1674-6805(2018)05-0014-02
  【Abstract】 Objective:To investigate the clinical effect of low water capsule in promoting the application and safety of cervical ripening,so as to provide reference for full-term pregnancy Dopper effect.Method:From September 2013 to October 2015,in our hospital 98 cases of full-term pregnancy in pregnant women were selected,pregnant women were randomly divided into the observation group and the control group,49 cases in each group,the control group received intravenous Oxytocin induced,the observation group was low water sacs induction of labor,according to the Bishop score(cervical maturity score) was evaluated in two groups for cervical ripening,the birth outcomes was observed.Result:The efficiency of the observation group was significantly higher than the control group(98.0% vs 79.6%),there was significant difference in two groups(P<0.05),the mode of delivery,postpartum hemorrhage, neonatal asphyxia,the rate of maternal and umbilical cord prolapse rate comparison of various indexes had no significant difference between two groups(P>0.05).Conclusion:Low water sacs promote the cervix to mature well and have no adverse effects on mothers and infants.The clinical application and popularization of this method are high value.
  【Key words】 Low water sacs; Promotion of cervical ripening; Application effect; Safety evaluation
  First-author’s address:Yuxi Maternal and Child Health-Care Hospital,Yuxi 653100,China
  臨床中经常出现妊娠晚期因母体或胎儿因素需要进行引产的情况,足月妊娠引产不仅有利于消除孕晚期妊娠合并症,而且能够使胎儿尽早脱离不良的宫内环境,避免发生胎儿窘迫,从而获得较好的妊娠结局[1]。子宫颈成熟度是衡量引产效果的关键指标,子宫颈只有缩短、变软,才能保证胎儿顺利娩出,一般情况下,子宫颈成熟度越好,引产效果也就越好,转行剖宫产的概率越低[2]。目前临床用于促子宫颈成熟的方法较多,任何一种方法都应当尽量与自然生理过程相似,避免造成不良后果。水囊引产与药物引产相比安全性更高,而且引产过程更贴近正常的生理过程,尤其适用于基层医院引产。为探讨低位水囊促子宫颈成熟的临床效果,评价其应用安全性,笔者所在医院选取98例足月妊娠待产孕妇作为研究对象,现报告如下。
  1 资料与方法
  1.1 一般资料
  选取2013年9月-2015年10月笔者所在医院收治的98例足月妊娠待产孕妇作为研究对象,所有孕妇均无水囊引产禁忌证,Bishop评分(子宫颈成熟度评分法)<6分,自愿参与本次研究。按照随机数字法将全部孕妇分为观察组与对照组,每组49例。其中观察组孕妇年龄23~36岁,平均(28.71±3.09)岁,孕周38~41周,平均(40.11±0.53)周,Bishop评分(3.45±0.67)分;对照组孕妇年龄25~35岁,平均(29.46±3.00)岁,孕周39~42周,平均(40.25±0.61)周,Bishop评分(3.67±0.61)分。两组孕妇年龄、孕周、子宫颈成熟度评分比较,差异无统计学意义(P>0.05),有可比性。

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