缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较

发布时间：2018-01-09 09:20

本文关键词：缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较　出处：《中国生化药物杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探究缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较。方法选取妊娠晚期单胎初产妇90例,随机分成3组,每组30例。A组予地诺前列酮栓,B组予缩宫素,C组予宫颈扩张球囊,观察并比较3组宫颈、分娩及并发症、新生儿等情况。结果与B、C组比较,A组妊娠晚期引产疗效较好,表现为:干预后6、12 h宫颈Bishop评分较高(P0.05),促宫颈成熟有效率及成功引产率较高(P0.05),临产时间较短(P0.05),分娩并发症总发生率较低(P0.05)。结论地诺前列酮栓用于妊娠晚期,能够明显缩短临产时间,提高成功引产率,效果优于缩宫素及宫颈扩张球囊。
[Abstract]:Objective to compare the efficacy of oxytocin, dinoprostone suppository and cervix dilatation balloon in the induction of labor in late pregnancy. Methods 90 cases of primipara with single pregnancy in late pregnancy were randomly divided into 3 groups. Each group (30 cases) was treated with dilatation of cervix in group B (group B) and dilatation balloon of cervix uteri (group C). The cervix, delivery, complications and newborns were observed and compared with those in group B. Results the results were compared with those in group B. In group A, the effect of induced labor in the third trimester of pregnancy was better. The results showed that the cervical Bishop score was higher (P0.05), the effective rate of promoting cervix maturation and the rate of successful induced labor were higher (P0.05). The total incidence of labor complications was lower than that of P0.05.ConclusionDiloprostone suppository can significantly shorten the duration of labor and increase the rate of successful labor induction in the third trimester of pregnancy. The effect was better than oxytocin and cervix dilatation balloon.
【作者单位】：丽水市妇幼保健院妇产科;
【分类号】：R719.3
【正文快照】： 妊娠晚期引产是指在自然临产,通过药物等手段使产程发动,达到分娩的目的[1],是产科处理高危妊娠的常用方法之一。随着人们生活物质水平的提高,胎儿的体重也越来越大,以至于胎儿头径线增大,妊娠晚期胎头无法紧贴宫颈,降低了对宫颈的刺激扩张,导致无法自发性地进行宫缩。因此,近

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