摘要
目的对Foley＇s尿管联合催产素用于足月妊娠低宫颈评分引产的疗效和安全性进行探讨。方法从我院2012年10月-2013年10月收治需要引产的产妇中随机选取100例作为研究对象,根据使用药物的不同分成对照组和观察组,每组各50例。其中对照组单纯使用催产术滴入的方法,观察组使用给子宫颈管内放置Foley＇s尿管后,注入80 m L的生理盐水的方法,对两组患者引产的疗效和安全性进行比较。结果观察组的有效率为94.0%,显著高于对照组的有效率（54.0%）;同时,观察组宫颈Bishop评分提高（5.86±0.10）分,对照组提高（3.80±1.00）分,差异均具有统计学意义（P〈0.05）。无论是在宫颈成熟方面,还是在胎盘娩出时间和产后出血量方面,两组患者存在较大差异,观察组明显优于对照组,差异有统计学意义（P〈0.05）。结论 Foley＇s尿管联合催产素用于足月妊娠低宫颈Bishop评分引产具有安全有效、简单方便和价格低廉的优点,值得进行临床以推广。
Objective To discuss and analyze the curative effect and safety of Foley＇s urinary catheter combined with oxytocin in the application of induced labor in full-term pregnancy with low cervical Bishop score. Methods A total of100 puerpera in need of induced labor who were admitted to our hospital from October 2012 to October 2013 were randomly selected as research subjects. They were assigned to the control group and the observation group according to different drugs, with 50 patients in each group. The control group was given dripping of oxytocin alone, while the observation group was given 80 m L normal saline after Foley＇s urine catheter was placed in the cervical canal. The curative effect and safety of induced labor was compared between the two groups. Results The effective rate in the observation group was 94.0%, significantly higher than that in the control group（54.0%）; meanwhile, cervical Bishop score increased（5.86±0.10） in the observation group and increased（3.80±1.00） in the control group, the differences were all statistically significant（P〈0.05）. In terms of cervical ripening, time of placenta discharge and postpartum bleeding volume, there were relatively significantly differences between the two groups. The observation group was sig nificantly better than the control group, and the differences were statistically significant（ P 0.05）. Conclusion Fo ley＇s urinary catheter combined with oxytocin in the application of induced labor in full-term pregnancy with low cervical Bishop score has advantages of high safety and efficiency, good convenience and low cost, which is worthy of clinical application and promotion.
出处
《中国现代医生》
2015年第33期61-63,共3页
China Modern Doctor
