欣普贝生与COOK球囊用于足月妊娠初产妇引产对比观察

发布时间：2018-08-01 08:30

【摘要】：目的对比观察欣普贝生(地诺前列酮栓)与COOK球囊用于足月妊娠初产妇的引产效果。方法 157例足月妊娠宫颈低评分初产妇,随机分为欣普贝生组83例及COOK球囊组74例。欣普贝生组采用欣普贝生引产,COOK球囊组采用COOK球囊引产。记录两组产妇的宫缩发动时间、总产程、宫颈裂伤情况、分娩方式、用药不良反应及新生儿体质量、新生儿Apgar评分。结果欣普贝生组、COOK球囊组临产时间分别为(11.4±5.7)、(16.3±7.6)h,总产程分别为(14.4±6.1)、(19.7±4.3)h,后续应用催产分别为11、25例,顺产分别为68、59例。两组临产时间、总产程、后续应用催产例数比较,P均0.05。欣普贝生组、COOK球囊组宫颈裂伤分别为4、3例,发生用药不良反应分别为16、18例,产后发热分别为11、9例,产后出血量分别为(275±63)、(320±54)m L,新生儿体质量分别为(3.27±0.53)、(3.36±0.44)kg,新生儿Apgar评分分别为(9.22±0.48)、(9.38±0.30)分,两组比较,P均0.05。两组产妇均有15例以剖宫产结束妊娠,其中欣普贝生组剖宫产原因为社会因素4例、产程异常8例、胎儿窘迫3例,COOK球囊组分别为7、4、4例。结论欣普贝生和COOK球囊用于足月妊娠初产妇引产均安全、有效,但前者较后者的临产时间及总产程均短。
[Abstract]:Objective to observe the effect of COOK balloon on induction of labor in term primiparous women. Methods 157 cases of term pregnancy with low cervical score were randomly divided into three groups: Hipperbachen group (n = 83) and COOK balloon group (n = 74). The COOK balloon group was used to induce labor. The onset time of uterine contraction, total labor process, cervical laceration, delivery mode, adverse drug use, neonatal body mass and neonatal Apgar score were recorded in the two groups. Results the time of labor was (11.4 卤5.7), (, 16.3 卤7.6) h, the total labor process was (14.4 卤6.1), (, 19.7 卤4.3) h, the rate of subsequent administration of induced labor was 1125 cases, and that of normal delivery was 68.59 h, respectively. The time of labor, total stage of labor, and the number of cases of subsequent application of oxytocin were 0.05 in the two groups (P < 0.05). There were 3 cases of cervical laceration, 18 cases of adverse drug reactions, 119 cases of postpartum fever, (275 卤63), (320 卤54) m L,) of postpartum hemorrhage, (3.27 卤0.53), (3.36 卤0.44) kg of neonatal body weight, and (9.22 卤0.48), (, 9.38 卤0.30) of neonatal Apgar scores, respectively. The difference between the two groups was 0.05 (P < 0.05). 15 cases of pregnancy were terminated by cesarean section in both groups. The causes of cesarean section were social factors (4 cases), abnormal labor process (8 cases) and fetal distress (3 cases). Conclusion both Hipparson and COOK balloon are safe and effective in inducing labor in term primipara, but the former is shorter than the latter in the time of labor and the total labor process.
【作者单位】：武汉市妇女儿童医疗保健中心;
【基金】：武汉市卫生局临床医学科研项目(WX12B19)
【分类号】：R719.3

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