子宫颈扩张球囊（CRB）在足月双胎妊娠中促宫颈成熟及引产的应用

发布时间：2018-05-01 20:15

本文选题：双胎妊娠 + 子宫颈扩张球囊　；参考：《安徽医科大学》2017年硕士论文

【摘要】：目的观察子宫颈扩张球囊在足月双胎妊娠促宫颈成熟及引产的应用,并与足月单胎妊娠比较,探讨子宫颈扩张球囊在足月双胎妊娠应用的有效性及安全性。方法收集2009年1月至2015年11月在我院住院分娩的所有双胎妊娠孕产妇,按照纳入标准,64例应用子宫颈扩张球囊的足月双胎妊娠初产妇作为研究组,同期随机抽取的64例应用子宫颈扩张球囊的足月单胎妊娠初产妇作为对照组,比较两组的宫颈成熟、引产效果、母婴结局、不良反应等指标,并用Logistic回归分析双胎妊娠引产后剖宫产分娩的影响因素。结果(1)两组孕产妇的促宫颈成熟情况、引产时间、阴道分娩率、剖宫产指征比较,差异无统计学意义(P0.05);(2)两组产时、产后出血、感染等不良结局比较,差异无统计学意义(P0.05);(3)双胎妊娠组新生儿出生体重低于单胎妊娠组,差异具有统计学意义(P0.05),但两组胎儿窘迫及新生儿窒息发生率差异无统计学意义(P0.05);(4)Logistic回归分析结果显示双胎妊娠不是引产后剖宫产分娩的危险因素。结论(1)子宫颈扩张球囊能有效的促进双胎妊娠的宫颈成熟及引产,效果与单胎妊娠一致,且没有增加母婴不良结局,值得临床上进一步推广。(2)双胎妊娠不是引产后剖宫产分娩的危险因素,可通过引产后阴道分娩。
[Abstract]:Objective to investigate the efficacy and safety of cervical dilated balloon in term twin pregnancy in promoting cervix maturation and induced labor, and compared with term single pregnancy. Methods from January 2009 to November 2015, all twins who were delivered in our hospital from January 2009 to November 2015 were collected. According to the inclusive criteria, 64 cases of full-term twins who were given cervical dilatation balloon were used as the study group. At the same time, 64 cases were randomly selected as the control group. The cervical maturation, the effect of induced labor, the outcome of mother and child, the adverse reaction and so on were compared between the two groups. Logistic regression analysis was used to analyze the influencing factors of cesarean section in twin pregnancy. Results (1) there was no significant difference in cervical maturation, induced labor time, vaginal delivery rate and cesarean section indication between the two groups. There was no significant difference between the two groups in the adverse outcomes of postpartum hemorrhage and infection. The birth weight of newborns in twin pregnancy group was lower than that in single pregnancy group. The difference was statistically significant (P 0.05), but there was no significant difference in the incidence of fetal distress and neonatal asphyxia between the two groups. Logistic regression analysis showed that twin pregnancy was not a risk factor for cesarean section after induced labor. Conclusion 1) Cervical dilatation balloon can effectively promote cervical maturation and induction of labor in twin pregnancy, and the effect is consistent with that of single pregnancy, and does not increase the adverse outcome of mother and child. Twin pregnancy is not a risk factor for cesarean section after induced labor, but vaginal delivery after induced labor.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R719.3

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