摘要
目的:比较宫颈扩张球囊、地诺前列酮栓、缩宫素、米索前列醇的促进宫颈成熟效果。方法:选择208例宫颈不成熟的足月妊娠产妇随机分为四组,分别采用宫颈扩张球囊、地诺前列酮栓、缩宫素以及米索前列醇以促进宫颈成熟。结果:宫颈扩张球囊组的有效率高于缩宫素组、米索前列醇组和地诺前列酮栓组(P<0.05);四个组的产道裂伤、产后大出血和新生儿窒息发生率相比差异无统计学意义(P>0.05),米索前列醇组的宫缩过强和羊水污染发生率高于其他三组(P<0.05)。结论:地诺前列酮栓、宫颈扩张球囊和米索前列醇对促进宫颈成熟均有较满意的效果,其中宫颈扩张球囊的并发症更少,安全性较高。
Objective:To study the effects of cervical dilatation balloon, dinoprostone suppositories, oxytocin and misoprostol in promoting cervical ripening.Methods: 208 full-term pregnant women with unfavorable cervix were selected and divided into four groups randomly. Balloon dilatation of cervical dilatation, dinoprostone suppositories, oxytocin and misoprostol were used respectively.Results: The effective rate of balloon dilation in cervical dilatation was significantly higher than the other three groups ( P <0.05). There was no significant difference in the incidence of birth canal laceration, postpartum hemorrhage and neonatal asphyxia in the four groups ( P >0.05). The incidence of uterine contraction and amniotic fluid pollution in misoprostol group was significantly higher than that of the other three groups ( P <0.05).Conclusion: Dinoprostone suppositories, cervical dilated balloon and misoprostol all have a satisfactory effect on cervical ripening. There are fewer complications and higher safety of cervical dilated balloon.
作者
戴然
DAI Ran(The Third People's Hospital of Anyang City, Anyang 455000, China)
出处
《包头医学院学报》
CAS
2019年第5期34-35,共2页
Journal of Baotou Medical College
关键词
宫颈扩张球囊
地诺前列酮栓
缩宫素
米索前列醇
促进宫颈成熟
Cervical dilatation balloon
Dinoprostone suppositories
Oxytocin
Misoprostol
Promoting cervical ripening
