摘要
目的探讨宫颈扩张球囊和米索前列醇促妊娠晚期宫颈成熟的临床疗效。方法选择2015年1月至2016年1月我院产科住院分娩且伴有引产指征的初产妇92例,按随机数字表法分为两组,每组各46例,对照组采取米索前列醇促宫颈成熟,观察组采取宫颈扩张球囊促宫颈成熟,比较两组治疗前后宫颈Bishop评分、促宫颈成熟情况、剖宫产率、产后出血及新生儿状况。结果两组治疗后宫颈Bishop评分较治疗前明显提高(P<0.05),且观察组高于对照组(P<0.05);观察组促宫颈成熟总有效率明显高于对照组(P<0.05);观察组产妇产后出血量低于对照组(P<0.05);两组剖宫产率、新生儿Apgar评分及新生儿体质量比较差异无统计学意义(P>0.05)。结论采取宫颈扩张球囊法促宫颈成熟的临床效果要优于米索前列醇,不仅能改善宫颈评分,且安全性较好。
Objective To explore the effect of cervical dilation balloon and misoprostol on cervical ripening in late trimester pregnancy.Methods 92 primiparas with induced labor indications in our hospital from January 2015 to January 2016 were selected and randomly divided into the control group and the observation group,with 46 cases in each group.To boost cervical ripening,primiparas in the control group were treated with misoprostol while cervical dilation balloons were used in the observation group.The cervical Bishop score,the cervical ripening status,cesarean section rate,postpartum hemorrhage and neonatal status before and after treatment were compared between the two groups.Results The Bishop scores increased significantly in both groups after treatment（P〈0.05）,and those of the observation group were higher than those of the control group（P〈0.05）,the total effective rate of cervical ripening in the observation group was significantly higher than that of the control group（P〈0.05）,the amount of postpartum hemorrhage in the primiparas in the observation group was lower than that in the control group（P〈0.05）.There was no significant difference in cesarean section rate,Apgar score and neonatal weight between the two groups （P〉0.05）.Conclusion The clinical effect of cervical dilation balloon in boosting cervical ripening is superior to that of misoprostol with improvement of cervical score and higher safety.
出处
《锦州医科大学学报》
CAS
2017年第3期46-48,共3页
Journal of Jinzhou Medical University
关键词
妊娠晚期
宫颈扩张球囊
米索前列醇
宫颈成熟
late trimester pregnancy
cervical dilation balloon
misoprostol
cervical ripening
