妊娠晚期促宫颈成熟3种方法比较.docVIP

妊娠晚期促宫颈成熟3种方法比较 　　[摘要] 目的 研究分析在足月妊娠?m颈成熟以及引产过程中运用常用的3种促宫颈成熟方法的效果以及安全性。方法 从2017年4―10月期间在该院产科被确诊为存在引产指征的单胎、头位但宫颈不成熟的足月产妇中方便选取96例，根据治疗方式的不同将其随机平均分成宫颈扩张水囊组32例，缩宫素组32例以及米索前列醇组32例。将3组患者治疗后的Bishop分数、临产消耗时间、产程时间、分娩情况以及产后结局进行对比。结果 在Bishop分数方面，宫颈扩张水囊的分数（8.2±0.8）分显著比另外两组要高（5.2±0.13）分、（6.9±0.7）分差异有统计学意义（P0.05），但两组均显著比缩宫素组（11.11±3.43）h、62.5%要高差异有统计学意义（P0.05）。宫缩强度方面米索前列醇组患者（12.50%）显著比另外两组要高（0.00%）、（3.16%）差异有统计学意义（P0.05）。而在产后出血以及新生儿Apgar方面3组之间（9.4±0.5）分、（9.3±0.4）分、（9.4±0.4）分均差异无统计学意义。 结论 宫颈扩张水囊、米索前列醇均有良好的改善宫颈成熟的效果，其中宫颈扩张水囊安全性更好，但价格昂贵，普遍患者有异物感，而米索前列醇效果也较好、引产较快并且价格低廉、使用方便，但应用时需严密监测产妇和胎儿情况。 　　[关键词] 促宫颈成熟；妊娠晚期；缩宫素；宫颈扩张水囊；米索前列醇；效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0042-03 　　Comparison of Three Methods on Promoting Cervical Mature in Late Pregnancy 　　LI Shu-jun 　　Department of Gynaecology and Obstetrics， Kunming Panlong District People’s Hospital， Kunming， Yunnan Province， 650000 China 　　[Abstract] Objective This paper tries to study the effect and safety of using three commonly used methods of cervical ripening in term pregnancy cervical ripening and induction of labor. Methods From April to October 2017， 96 patients were convenient selected from the unmarried full-term mothers with single-fetus and head-top but immature cervix in obstetric department of obstetrics who were diagnosed as having induced abortion. According to the different treatment methods， they were randomly divided into three groups， 32 cases of cervical dilatation balloon group， oxytocin group 32 cases and misoprostol group 32 cases. The Bishop scores， labor-consumption time， labor duration， delivery status， and post-natal outcomes were compared between the three groups after treatment. Results In terms of Bishop score， the score of cervical dilatation balloon （8.2±0.8）points was significantly higher than that of the other two groups （5.2±0.13）points and （6.9±0.7）points the difference was statistically significant （P0.05）， but both groups were significantly higher than those in the oxytocin g