| 李钱容,王晓银,庄 琳,王 妍,徐 洲.球囊引产+破膜+缩宫素引产在足月妊娠生产中作用观察[J].,2020,(12):2334-2337 |
| 球囊引产+破膜+缩宫素引产在足月妊娠生产中作用观察 |
| The Observation on the Effect of Balloon Induction of Labor + Rupture of Membrane + Oxytocin in Term Pregnancy |
| 投稿时间：2020-01-02 修订日期：2020-01-26 |
| DOI：10.13241/j.cnki.pmb.2020.12.029 |
| 中文关键词: 球囊引产 人工破膜 缩宫素 足月妊娠 生产 作用 |
| 英文关键词: Induction of labor by balloon Artificial rupture of membrane Oxytocin Term pregnancy Production Effect |
| 基金项目:四川省医学科研青年创新课题计划项目（Q15050） |
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| 中文摘要: |
| 摘要 目的：探究球囊引产联合人工破膜及缩宫素在足月妊娠中的引产效果。方法：选择2019年1月至2019年12月于我院接受治疗的82例足月产妇，按照随机数字表法将其均分为研究组与对照组（每组各41例），对照组产妇实施人工破膜，2 h后如未见有效宫缩则静脉滴注缩宫素，研究组首先于宫颈处放置COOK球囊，取出球囊后进行人工破膜，30 min后静脉滴注缩宫素，对比两组产妇静滴缩宫素至分娩时间、第1产程、第2产程、总产程时间，对比两组产妇不同时间段分娩率，对比两组产妇自然分娩率、胎儿Apgar评分、产后24 h出血量及副作用情况。结果：（1）研究组产妇缩宫素静滴至分娩时间、第1产程、第2产程、总产程均明显短于对照组（P<0.05）；（2）12 h内研究组分娩率明显高于对照组（P<0.05）；（3）研究组产妇自然分娩率高于对照组（P<0.05），胎儿Apgar评分差异不明显（P>0.05），产后24 h出血量研究组低于对照组产妇（P<0.05）；（4）两组产妇羊水浑浊、宫缩过强等副作用发生率对比差异不具有统计学意义（P>0.05）。结论：应用球囊引产联合人工破膜及静滴缩宫素的方式，能够显著缩短产妇产程，提高自然分娩率，同时还能够降低分娩后产妇阴道出血量，且安全性较高。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the induction effect of balloon induction combined with artificial rupture of membrane and oxytocin in term pregnancy. Methods: 82 full-term pregnant women who were treated in our hospital from January 2019 to December 2019 were selected as the study objects, and were divided into study group and control group (41 patients in each group) according to the random number table method. The control group were treated with artificial rupture of membrane. If there was no effective uterus 2 hours later Oxytocin was infused intravenously in the experimental group. The study group first prevented the cook balloon at the cervix. After the balloon was taken out, the artificial membrane was broken, and oxytocin was infused intravenously 30 mins later. The delivery time from oxytocin infusion to delivery, the first, the second and the total delivery time of the two groups were compared. The delivery rate of the two groups in different periods of time was compared. The natural delivery rate, fetal Apgar score, postpartum delivery rate of the two groups were compared. Results: (1) The delivery time, the first, the second and the total delivery time of oxytocin in the study group were significantly shorter than those in the control group (P<0.05). (2) The delivery rate in the study group was significantly higher than that in the control group within 12 hours (P<0.05). (3) The natural delivery rate in the study group was higher than that in the control group (P<0.05), and the fetal AP was significantly higher than that in the control group (P<0.05). There was no significant difference in Gar score (P>0.05), 24-hour postpartum hemorrhage in the experimental group was lower than that in the control group (P<0.05). There was no significant difference in the incidence of side effects such as amniotic fluid turbidity and uterine contraction between the two groups (P>0.05). Conclusion: The application of balloon induction combined with artificial rupture of membrane and intravenous drip of oxytocin can significantly shorten the delivery process and improve the natural delivery rate. At the same time, it can reduce the amount of vaginal bleeding after delivery, and has high safety. |
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