Foley’s尿管球囊用于妊娠晚期引产促宫颈成熟的效果评价被引量：10

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摘要目的探讨Foley’s尿管球囊用于晚期妊娠引产促宫颈成熟的临床效果。方法将100例符合引产指征以及宫颈Bishop评分<6分的孕妇(均为妊娠孕晚期)随机分为观察组(采用18号Foley’s尿管球囊机械性扩张宫颈内口至少12 h以上拔除球囊,然后再静滴小剂量催产素促宫颈成熟引产)和对照组(采用静滴小剂量催产素促宫颈成熟引产)各50例。比较两组孕妇促宫颈成熟的有效率、促宫颈成熟所用的时间、分娩方式、母儿结局。结果观察组宫颈改良成熟度评分、顺产分娩率、促宫颈成熟使用时间均优于对照组(P<0.05)。两组产褥感染的发生率、产后出血量、新生儿出生后1 min Apgar评分无差异(P>0.05)。结论Foley’s尿管球囊机械性扩张宫颈内口与小剂量催产素静滴联合,促进宫颈成熟,比单独使用催产素更有效,引产效果好,安全可靠,所用时间短,且方法简便。

作者杨思丽罗万训

机构地区大理市第一人民医院产科

出处《贵州医药》 CAS 2022年第1期95-96,共2页 Guizhou Medical Journal

关键词促宫颈成熟 Foley’s尿管球囊引产妊娠晚期

分类号 R719.3 [医药卫生—妇产科学]

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1林丽斌.宫颈扩张球囊用于妊娠晚期促宫颈成熟效果观察[J].人民军医,2017,60(4):371-373. 被引量：11
2张桂玲.Foleys导尿管球囊促宫颈成熟用于足月妊娠引产的效果评价[J].湘南学院学报（医学版）,2017,19(2):52-54. 被引量：7
3陈玲,卢琪超,聂爱宏.COOK球囊用于足月妊娠引产有效性和安全性的Meta分析[J].江西医药,2017,52(12):1361-1364. 被引量：7
4阿迪拉.苏力旦,洪志丹,李家福,张元珍.Foley尿管水囊与前列腺素制剂用于晚孕引产的Meta分析[J].医药导报,2015,34(11):1522-1530. 被引量：8
5崔金晖,滕奔琦,伍玲,范建辉.宫颈扩张球囊与控释地诺前列酮栓用于足月妊娠促宫颈成熟的临床研究[J].中华围产医学杂志,2013,16(10):622-626. 被引量：68
6陈谨奋.Foley导尿管在足月引产促宫颈成熟中的应用价值[J].中国医药指南,2018,16(20):118-119. 被引量：2

二级参考文献83

1Coustan DR, Lowe LP, Metzger BE, et al. The Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study: paving the way for new diagnostic criteria for gestational diabetes mellitus. Am J Obstet Gynecol, 2010, 202: 654,el-6.
2American College of Obstetricians and Gynecolgists. ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general managenent principles. Obstet Gynecol, 2009,114 : 192-202.
3ACOG Committee on Practice Bulletins--Obstetrics. ACOG Practice Bulletin No. 107: Induction of Labor. Obstet Gynecol, 2009, 114 : 386-397.
4Atad J, Hallak M, Auslender R, et al. A randomized comparison of prostaglandin Ez, oxytocin and the double- balloon device in inducing labor. Obstet Gyneeol, 1996, 87: 223-227.
5GraneJM, Bennett KA. A meta-analysis of controlled- release prostaglandin for cervical ripening and labour induction. J 8OGC,2000,22:692 698.
6AtadJ, Hallak M, Ben-David Y, et al. Ripening and dilatation of the unfavorable cervix for induction of labour by a double balloon device., experience with 250 cases. Br J Obstet Gynaecol, 1997, 104:29-32.
7Pennell CE, Henderson J J, O'Neill MJ, et al. Induction of labour in nulliparous women with an unfavourable cervix: arandomised controlled trial comparing double and single balloon catheters and PGE2 gel. BJ()G, 2009, 116: 1443- 1452.
8Larranaga-Azctlrate C, Campo-Molina G, Pfrez Rodriguez AF, et al. Dinoprostone vaginal slow-resease system (Propess) compared to expectant management in the active treatment of premature rupture of the membranes at term: impact on maternal and fetal outcomes. Acta Obstet Gyneeo Scand, 2008, 87:195-200.
9Kbotaba S, Volfson M, Tarazova L, et al. Induction of labor in women with previous cesarean section using the double balloon device. Acta Obstet Gynecol Scand, 2001,80: 1041- 1042.
10Alsayegh AK, Roshdy S, Hany Akef A, et al. Induction of labor with prostaglandin e2 in women with previous cesarean section and unfavorable cervix. Int J Health Sci (Qassim), 2007, 1:211 216.