摘要
目的:探讨双球囊导管联合静脉滴注催产素应用于诱导瘢痕子宫再次足月分娩的价值。方法:将笔者所在医院2018年4月-2020年7月73例瘢痕子宫再次足月分娩患者分组,按照随机计算机法分为对照组36例,采用催产素治疗,观察组37例采用双球囊导管联合静脉滴注催产素治疗,观察两组引产效果、促宫颈评分、分娩方式、经阴道分娩产程情况及母婴结局。结果:观察组总有效率(94.59%)高于对照组(75.00%),差异有统计学意义(P<0.05);Bishop分值及宫颈评分改善值高于对照组(P<0.05);阴道分娩率(91.89%)高于对照组(55.56%),差异有统计学意义(P<0.05);引产开始到临产时间、第一产程、第二产程、第三产程时间及总产程时间均短于对照组(P<0.05);羊水污染率低于对照组,产后出血量低于对照组,新生儿Apgar评分高于对照组(P<0.05)。结论:双球囊导管联合静脉滴注催产素应用于诱导瘢痕子宫再次足月分娩可显著促进宫颈成熟情况,提高阴道分娩率,加快经阴道分娩产程进展,从而改善引产效果与母婴结局。
Objective:To explore the value of double balloon catheter combined with intravenous Oxytocin in inducing full-term delivery of scarred uterus.Method:From April 2018 to July 2020,73 patients with scarred uterus were divided into control group(36 cases,Oxytocin)and observation group(37 cases,double balloon catheter combined with intravenous Oxytocin).The effect of induction of labor,cervical score,mode of delivery,vaginal delivery process and maternal and neonatal outcomes were observed.Result:The total effective rate of the observation group(94.59%)was higher than 75.00%of the control group(P<0.05);Bishop score and cervical score improvement value were higher than those of the control group(P<0.05);vaginal delivery rate(91.89%)was higher than 55.56%of the control group(P<0.05).The time from the beginning of induced labor to labor,the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor were shorter than those of the control group(P<0.05).The rate of amniotic fluid pollution was lower than the control group,the amount of postpartum hemorrhage was lower than the control group,and Apgar score was higher than the control group(P<0.05).Conclusion:Double balloon catheter combined with intravenous Oxytocin can significantly promote cervical ripening,increase vaginal delivery rate,accelerate the progress of vaginal delivery,and improve the effect of induced labor and maternal and infant outcomes.
作者
黄丽媛
HUANG Liyuan(Affiliated Hospital of Putian University,Putian 351100,China)
出处
《中外医学研究》
2021年第21期152-155,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
双球囊导管
催产素
瘢痕子宫
足月分娩
Double balloon catheter
Oxytocin
Scarred uterus
Full-term delivery
