双球囊导管用于足月妊娠促宫颈成熟及引产的有效性、安全性和对产程的影响

发布时间：2018-06-18 16:54

本文选题：双球囊导管 + 足月妊娠　；参考：《中国妇产科临床杂志》2017年05期

【摘要】：目的总结探讨双球囊导管用于足月妊娠促宫颈成熟及引产的有效性、安全性和对产程的影响。方法选择2015年1月至2016年12月期间在青岛大学附属医院住院并有引产指征的140例足月妊娠孕妇为研究对象,随机分为观察组和对照组各70例,其中对照组采取阴道后穹窿放置地诺前列酮栓(普贝生)来促宫颈成熟,观察组选择在宫颈阴道内置入双球囊导管(COOK球囊),利用内外侧机械挤压作用促进宫颈成熟,观察比较两组孕妇宫颈Bishop评分变化、引产疗效、产程、分娩结局等情况。结果观察组双导管球囊取出后的宫颈Bishop评分(7.8±0.5)明显高于对照组地诺前列酮栓取出后的宫颈Bishop评分(7.1±0.3)分,差异有统计学意义(P0.01);观察组引产总有效率90.00%明显高于对照组引产总有效率77.14%,临产时间(10.5±2.5)h及总产程(8.1±0.5)h均明显短于对照组,剖宫产率17.14%明显低于对照组,差异均有统计学意义(P0.05)。结论双球囊导管用于足月妊娠促宫颈成熟的效果良好,改善宫颈条件和缩短产程,且安全性较高,值得推广使用。
[Abstract]:Objective to evaluate the efficacy, safety and influence of double balloon catheter in term pregnancy on cervical maturation and labor induction. Methods from January 2015 to December 2016, 140 pregnant women who were hospitalized in the affiliated Hospital of Qingdao University and who had the indication of induced labor were randomly divided into two groups: the observation group and the control group. In the control group, the posterior fornix of vagina was placed with fenoprostone suppository (Puberson) to promote cervical maturation, while in the observation group, two balloon catheters were placed in the cervix vagina to promote cervical maturation by mechanical extrusion of the inner and outer side. The changes of cervical Bishop score, the effect of induced labor, labor process and delivery outcome were observed and compared between the two groups. Results the cervical Bishop score (7.8 卤0.5) after double catheter balloon removal in the observation group was significantly higher than that in the control group (7.1 卤0.3). The total effective rate of induced labor in the observation group was 90.00% significantly higher than that in the control group (77.14%), the time of labor was 10.5 卤2.5 hours and the total labor process was 8.1 卤0.5 hours, and the cesarean section rate was 17.14% lower than that in the control group (P 0.05). Conclusion double balloon catheter is effective in promoting cervix maturation in term pregnancy. It can improve cervical condition and shorten labor process. It is safe and worth popularizing.
【作者单位】：青岛大学附属医院妇产科;
【分类号】：R719.3

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