不同容量小水囊引产对足月妊娠促宫颈成熟的临床观察

发布时间：2018-07-17 18:16

【摘要】：目的:分析不同容量小水囊引产对足月妊娠促宫颈成熟的影响。方法:将我院在2014年2月至2015年7月接收的足月妊娠,但宫颈条件不成熟且要求引产的183例产妇按照随机方法分为a组、b组和c组,每组各有61例。对于a组产妇,主要采用30毫升的小水囊进行引产,b组产妇采用80毫升的小水囊进行引产,c组产妇采用150毫升的小水囊进行引产,所有小水囊中,均采用0.9%的氯化钠溶液进行充盈,对于三组产妇的促宫颈成熟情况进行观察并做比较。结果:b组和c组产妇的促宫颈成熟有效率、经阴道分娩率,引产后的宫颈评分,引产到临产时间与第一产程时间相比都明显优于a组,P0.05;但b组与c组之间这些项目无明显差异,P0.05;对三组的新生儿窒息率、产妇产后出血等方面进行比较,无差异,P0.05;而且,a组、b组、c组产妇脐带的脱落率分别为93.44%、95.08%和77.05%,a组与b组明显大于c组,P0.05,a组和b组之间不存在差异,P0.05。结论:采用80毫升的小水囊对足月妊娠促宫颈成熟产妇具有较好的效果,这种小水囊能够更好地提高宫颈成熟率,具有临床推广使用的价值。
[Abstract]:Objective: to analyze the effect of different volume of small water sac induced labor on term pregnancy to promote cervical maturation. Methods: 183 pregnant women who received term pregnancy from February 2014 to July 2015 were randomly divided into group a (n = 61) and group C (n = 61). For group a, 30 ml of small water sac was used to induce labor. In group b, 80 ml of small water sac was used to induce labor. In group c, 150 ml of small water sac was used to induce labor. All of them were filled with 0.9% sodium chloride solution. The cervical maturation of the three groups was observed and compared. Results the effective rate of cervix maturation, the rate of vaginal delivery, and the cervical score after induced labor were observed in group C and group B. The time from induced labor to labor was significantly better than that of group a (P 0.05), but there was no significant difference between group b and group c (P 0.05). The neonatal asphyxia rate and postpartum hemorrhage were compared among the three groups. There was no difference (P0.05), and the rate of umbilical cord shedding was 93.444.08% in group B and 95.08% in group B and 77.05% in group B, respectively, which was significantly higher than that in group C (P 0.05) and no significant difference was found between group b and group C (P 0.05). Conclusion: the use of 80 ml of small water sac has a better effect on the full term pregnancy to promote cervical maturation, this small water sac can improve the cervical maturation rate better, and has the value of clinical popularization.
【作者单位】：郑州人民医院;郑州市妇幼保健院;
【分类号】：R719.3

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