摘要
目的对于足月产妇采取Foley导管自制球囊结合缩宫素引产,以促进子宫颈成熟,提高自然分娩率,改善妊娠结局。方法选择2021年2月至2022年1月我院接收的80例足月产妇,采用盲法分为对照组40例(缩宫素进行引产)与观察组40例(Foley导管自制球囊结合缩宫素),比较两组的治疗效果(引产后妊娠状况、子宫颈成熟度、妊娠结局与分娩方式、不良反应发生率)。结果观察组的引产至临产时间与总产程时间为(20.82±1.45)h与(10.48±1.04)h,短于对照组的引产至临产时间与总产程时间的(28.48±2.55)h与(13.84±1.45)h;观察组产后出血量(145.69±14.54)m L,少于对照组的(208.29±16.35)mL(P<0.05);观察组的新生儿出生时Apgar评分与引产成功率为(9.36±0.84)分、92.50%,高于对照组的新生儿出生时Apgar评分与引产成功率(8.19±0.94)分、75.00%,组间相关数据差异有统计学意义(P<0.05)。在治疗12 h与24 h后,观察组的子宫颈成熟度高于对照组(P<0.05);观察组的产后出血、胎盘早剥、新生儿窒息不良妊娠结局的发生率低于对照组,阴道分娩率高于对照组(P<0.05)。两组之间的不良反应发生率比较,差异无统计学意义,P>0.05。结论在足月产妇促子宫颈成熟中采取Foley导管自制球囊结合缩宫素方式进行引产取得了比较确切的效果,可以迅速提高子宫成熟度,缩短总产程时间,改善妊娠结局,提高自然分娩率,安全有效。
Objective To induce labor by Foley catheter self-made balloon combined with oxytocin for full-term parturient,to promote cervical maturity,increase natural delivery rate and improve pregnancy outcome.Methods From February 2021 to January 2022,80 full-term parturients in our hospital were selected and randomly divided into the control group(40 cases were induced by oxytocin)and the observation group(40 cases were treated by Foley catheter self-made balloon combined with oxytocin).The therapeutic effects were compared(pregnancy status,cervical maturity,pregnancy outcome and delivery mode,incidence of adverse reactions).Results The time from induction to labor and total labor in the observation group were(20.82±1.45)hours and(10.48±1.04)hours,which were shorter than those in the control group(28.48±2.55)hours and(13.84±1.45)hours.The postpartum hemorrhage of the observation group(145.69±14.54)mL was lower than(208.29±16.35)mL of the control group(P<0.05).The Apgar score and the success rate of induced labor in the observation group were(9.36±0.84)and(92.50%)higher than(8.19±0.94)and 75.00%in the control group,and there were statistical differences between the two groups(P<0.05).The cervical maturity of the observation group was higher than that of the control group at 12 and 24 hours of treatment(P<0.05).The incidence of postpartum hemorrhage,placental abruption and neonatal asphyxia in observation group was lower than that in control group,but vaginal delivery was higher than that in control group(P<0.05).There was no statistical difference in adverse reactions between the two groups(P>0.05).Conclusion For full-term parturient women,adopting Foley catheter self-made balloon combined with oxytocin to induce labor has achieved definite results,which can quickly improve the uterine maturity,shorten the total labor process,improve the pregnancy outcome,and increase the natural delivery rate.It is safe and effective.
作者
刘丽香
LIU Lixiang(Jiangxi Wan'an County People's Hospital,Wan'an 343800,China)
出处
《中国医药指南》
2023年第17期29-32,共4页
Guide of China Medicine
关键词
引产
Foley导管自制球囊
缩宫素
足月产妇
促子宫颈成熟
Induced labor
Foley catheter self-made balloon
Oxytocin
Full-term parturient
Promote cervical maturation
