摘要
目的:探讨Foley导尿管联用缩宫素在足月妊娠引产中效果。方法:选取2016年1月-2019年1月笔者所在医院收治的80例足月妊娠行引产术的孕产妇为研究对象,随机分为观察组(Foley导尿管+缩宫素)和对照组(缩宫素),观察组30例,对照组50例。对比两组宫颈成熟度改变、阴道分娩率、转剖宫产率、产后并发症、住院天数和住院费用。结果:观察组患者引产成功率高于对照组(90.0%vs 70.0%),差异有统计学意义(P<0.05);治疗前两组患者Bishop评分比较差异无统计学意义(P>0.05),治疗后两组评分均升高,观察组评分显著高于对照组[(8.83±0.49)分vs(6.77±0.38)分],差异有统计学意义(P<0.05);且观察组阴道分娩率显著高于对照组(86.7%vs 58.0%),差异有统计学意义(P<0.05);观察组产程及产后2 h出血量均显著少于对照组[(483.39±22.04)min vs (752.34±33.29)min,(202.48±27.38)ml vs (226.38±78.20)ml],差异有统计学意义(P<0.05);观察组患者住院天数及费用少于对照组[(4.02±0.57)d vs (4.81±0.54)d,(4 050.5±126.3)元vs (4 150.7±133.6)元],差异有统计学意义(P<0.05)。结论:Foley导尿管联用缩宫素应用于宫颈未成熟的孕产妇,能够促进其宫颈成熟,提高阴道分娩率,从而大大降低剖宫产率,并能够缩短产妇住院时间,降低其经济负担,为孕产妇提供安全、有效、经济的生产途径,特别在基层医院可作为促宫颈成熟、降低剖宫产率的一个值得推广的有效方法。
Objective:To investigate and analyze the effect of Foley catheter combined with Oxytocin in labor induction for full-term pregnancy.Method:From January 2016 to January 2019,a total number of 80 full-term pregnant women who received induced labor in our hospital were randomly divided into the observation group(Foley catheter+Oxytocin) and the control group(Oxytocin).There were 30 patients in the observation group and 50 patients in the control group.Cervical maturity changes,vaginal delivery rates,cesarean section rates,postpartum complications,length of stay and medical costs were compared between groups.Result:The success rate of induction in the observation group was higher than that in the control group(90.0% vs 70.0%),there was significant difference(P<0.05).No significant difference showed in Bishop score between the two groups before treatment(P>0.05).After treatment,Bishop score in the observation group was significantly higher than that in the control group(8.83±0.49 vs 6.77±0.38),there was significant difference(P<0.05).The vaginal delivery rate in the observation group was significantly higher than that in the control group(86.7% vs 58.0%),there was significant difference(P<0.05).The duration of labor(483.39±22.04)min vs(752.34±33.29)min,the amount of postpartum hemorrhage(202.48±27.38)ml vs(226.38±78.20)ml and the infection rate(3.3%vs 10.0%) in the observation group were lower than those in the control group(P<0.05).The length of stay(4.02±0.57)days vs(4.81±0.54)days and medical costs(4 050.5±126.3)RMB vs(4 150.7±133.6)RMB of the observation group were lower than those of the control group(P<0.05).Conclusion:Foley catheter combined with Oxytocin can promote cervical ripening and increase vaginal delivery rate of immature pregnant and lying-in women,thereby greatly reducing the rate of cesarean section,shortening the hospital stay and reducing their economic burden.This method provides a safe,effective and economical way for pregnant women especially in primary hospitals,which can be used as an effective method to promote cervical ripening and reduce cesarean section rate.
作者
程丽师
陈少如
林艳
钱艳霞
朱春丽
CHENG Lishi;CHEN Shaoru;LIN Yan(Chashan Hospital of Dongguan City,Dongguan 523380,China)
出处
《中外医学研究》
2019年第20期15-17,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
基金课题:东莞市社会科技发展(重点/一般)项目(项目编号:201650715000332)
