双腔导尿管在孕晚期促宫颈成熟中的作用

发布时间：2018-08-27 11:04

【摘要】：目的:评价双腔导尿管促宫颈成熟的临床价值。方法:选取2012年10月至2014年3月在五华县人民医院需要引产但宫颈不成熟的孕妇104例,在排除阴道分娩禁忌证和知情同意后,随机分为:尿管组(观察组)52例,宫颈置入双腔导尿管球囊注水80 m L,12 h后拔除,再次宫颈评分并人工破膜,1 h后未临产则静滴0.5%催产素;米索组(对照组)52例,阴道后穹窿放米索前列醇25μg/次,每6小时1次,直到临产。结果:观察组宫颈Bishop评分提高(2.7±1.1)分,静滴催产素到临产时间(137.4±39.1)min,阴道分娩率为90.38%,总产程(359.3±46.8)min;对照组放米索开始到临产时间(452.8±54.2)min,阴道分娩率为78.63%,总产程(693.7±51.4)min;两组相比差异有显著性(P0.05);而产后出血量、新生儿体重及评分无明显差异。结论:双腔导尿管可以明显改善宫颈成熟度,缩短产程,促进阴道分娩,方法简便,无副作用,适宜在基层医院推广应用。
[Abstract]:Objective: to evaluate the clinical value of double-chamber catheter in promoting cervical maturation. Methods: from October 2012 to March 2014, 104 pregnant women who needed induced labor but were premature cervix in Wuhua County people's Hospital were randomly divided into two groups: urinary catheter group (observation group), 52 cases, after eliminating the contraindication of vaginal delivery and informed consent. After injecting 80 mL / 12 h of double chamber catheter into the cervix, the patients were removed, the cervical score was again and 0.5% oxytocin was infused intravenously after 1 hour of artificial rupture of membrane, 52 cases in the control group were treated with misoprostol 25 渭 g / time in the posterior fornix of vagina, once every 6 hours, and then the patients in the control group were treated with misoprostol 25 渭 g / time in the posterior fornix of vagina. Until the birth. Results: the cervical Bishop score in the observation group was increased (2.7 卤1.1). The vaginal delivery rate was (137.4 卤39.1) min, and (359.3 卤46.8) min; control group. The vaginal delivery rate was 78.63 and (693.7 卤51.4) min; in the control group from (452.8 卤54.2) min, to (452.8 卤54.2) min, (P0.05). There was no significant difference in neonatal weight and score. Conclusion: Dual-chamber catheter can obviously improve cervical maturity, shorten labor process and promote vaginal delivery. The method is simple and has no side effects. It is suitable for popularizing and applying in basic hospital.
【作者单位】：广东省梅州市五华县人民医院妇产科;广东省人民医院妇产科;
【基金】：广东省梅州市科技局科研立项项目(编号:2014b141)
【分类号】：R719.3

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