地诺前列酮栓促进足月妊娠初产妇宫颈成熟观察和护理.doc

地诺前列酮栓促进足月妊娠初产妇宫颈成熟观察和护理[摘要] 目的 探讨地诺前列酮栓用于足月妊娠初产妇促宫颈成熟的效果和护理措施。 方法 将160例足月妊娠初产妇随机分为观察组（n = 80）和对照组（n = 80）。观察组在阴道后穹窿放置一枚地诺前列酮栓，对照组给予催产素缓慢静滴。比较两组产妇宫颈Bishop评分、用药至临产时间、临产至胎儿娩出时间、新生儿阿氏评分、羊水污染、产后出血等。 结果 观察组促宫颈成熟有效率显著高于对照组（P 0.05）。 结论 地诺前列酮栓用于足月妊娠初产妇促宫颈成熟，方法简便，安全有效。 [关键词] 地诺前列酮栓；足月妊娠；初产妇；宫颈成熟 [中图分类号] R719.3 [文献标识码] B [文章编号] 1673—9701（2012）27—0102—03 Observation and nursing of dinoprostone suppositories promoting cervical ripening in primipara of full—termpregnancy QING Dongli Department of Obstetrics， Peoples Hospital of Yexian， Henan Province， Yexian 467200， China [Abstract] Objective To explore the effect and nursing of dinoprostone suppositories promoting cervical ripening in primipara of full—termpregnancy. Methods A total of 160 cases primipara of full—termpregnancy were randomly divided into study group （n = 80） and control group （n = 80）. The study group was put dinoprostone suppositories in the posterior vaginal fornix， the control group received intravenous drop of oxytocin. To compare the Bishop score of cervix，the time from using drug to labor， the time from labor to fetus expulsion， amniotic fluid contamination， Apgar score of neonate born after 1～5 minutes， and postpartum hemorrhage between the two groups. Results The cervical maturity of the study group was significantly higher than the control group； the time from using drug to labor and from labor to fetus expulsion of the study group were significantly lower than the control group. Amniotic fluid contamination， Apgar score of neonate born after 1—5 minutes， and postpartum hemorrhage werent significantly difference between the two groups. Conclusion Using dinoprostone suppositories is safe， effective， simple and convenient for promoting cervical ripening in primipara of full—termpregnancy. [Key words] Dinoprostone suppositories ； Full—termpregnancy ； Primipara ； Cervical ripening 宫颈成熟是自然临产前的生理过程，通过宫颈变软、缩短、抗张能力下降等变化，使分娩顺利完成。同时，宫颈成熟是引产成功的前提条件[1]。对于宫颈不成熟的足月妊娠初产妇，则需要用药物促进其宫颈成熟；催产素是常用的促宫颈成熟药，地诺