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投稿时间：2019-12-29 网络发布日期：2020-08-20
投稿时间：2019-12-29 网络发布日期：2020-08-20
中文摘要: 目的 探讨一次性球囊宫颈扩张器联合地诺前列酮栓对妊娠期高血压疾病孕妇宫颈成熟度评分(Bishop)及引产效果的影响。方法 选取2017年7月至2019年7月妊娠期高血压疾病孕妇108例,以简单随机化法分为观察组、对照A组、对照B组,各36例。对照A组予以缩宫素引产,对照B组予以地诺前列酮栓引产,观察组予以一次性球囊宫颈扩张器联合地诺前列酮栓引产。比较3组引产成功率、分娩方式、产程进展情况,产后2、24 h出血量、孕妇与围生儿不良事件发生率,及治疗前和治疗12、24 h后Bishop评分。结果 观察组引产成功率、自然分娩率高于对照A组、对照B组(P<0.017);观察组第一产程、总产程及诱发临产时间短于对照A组、对照B组(P<0.05);观察组产后2 h、24 h出血量低于对照A组、对照B组(P<0.05);3组治疗12 h、24 h后Bishop评分较治疗前提高,且观察组高于对照A组、对照B组(P<0.05);观察组胎心异常率、产后出血发生率低于对照A组(P<0.017)。结论 一次性球囊宫颈扩张器联合地诺前列酮栓应用于妊娠期高血压疾病孕妇引产可提高宫颈成熟度,促进产程进展,提升引产成功率及自然分娩率,降低产后出血量,减少孕妇与围生儿不良事件的发生。
中文关键词: 妊娠期高血压疾病 引产 一次性球囊宫颈扩张器 地诺前列酮栓 Bishop评分
Abstract:ObjectiveTo investigate the effects of disposable balloon cervical dilator combined with dinoprostone suppository on cervical maturity score (Bishop score) and labor induction in pregnant women with hypertension.MethodsA total of 108 pregnant women with hypertension from July 2017 to July 2019 were randomly divided into observation group,control group A and control group B (n=36,each).Oxytocin-induced labor was performed in control group A,dinoprostone suppository was used in control group B,and disposable balloon cervical dilator combined with dinoprostone suppository was performed in observation group.The success rate of labor induction,mode of delivery,progression of labor,bleeding volume at 2 and 24 hours after delivery,incidence of adverse events in pregnant women and perinatal infant and Bishop scores before treatment and 12 h and 24 h after treatment were compared among three groups.ResultsThe success rate of induced labor and the natural delivery rate in observation group were higher than those in control group A and B (P<0.017),and the first stage and total stage of labor and time of induced labor in observation group were significantly shorter than those in control group A and B (P<0.05).The amount of bleeding in observation group was statistically lower than those in control group A and B(P<0.05).After treatment,Bishop score was significantly higher than those before treatment in three groups and was higher in observation group than those in control group A and B (P<0.05).The incidence of fetal heart rate abnormalities in observation group was respectively lower than those in control group A and B,and the incidence of postpartum hemorrhage in observation group was statistically lower than that in control group A(P<0.017).ConclusionIn induced labor of pregnant women with hypertension,application of disposable balloon dilator combined with dinoprostone suppository can improve the cervical maturity,promote the progress of labor,improve the success rate of induced labor and natural delivery rate and reduce the amount of postpartum hemorrhage and the incidence of adverse events in pregnant women and perinatal infant.
keywords: Hypertensive disorder of pregnancy Induction of labor Disposable balloon cervical dilator Dinoprostone suppository Bishop score
文章编号： 中图分类号： 文献标志码：B
基金项目:湖北省卫生计生委中医药中西医结合科研一般项目(［2017］20号-YB31)
附件
| Author Name | Affiliation |
| LIU Jing,LI Yin-he,DENG Lu | Department of Obstetrics,Hubei Hospital of Integrated Traditional Chinese and Western Medicine,Wuhan,Hubei 430015,China |
引用文本：
刘婧,李银河,邓璐.一次性球囊宫颈扩张器联合地诺前列酮栓对妊娠期高血压疾病孕妇引产效果[J].中国临床研究,2020,33(8):1076-1079,1083.
刘婧,李银河,邓璐.一次性球囊宫颈扩张器联合地诺前列酮栓对妊娠期高血压疾病孕妇引产效果[J].中国临床研究,2020,33(8):1076-1079,1083.