宫颈扩张双球囊前列腺素E2栓剂用于促宫颈成熟及足月妊娠引产效果分析.docVIP

宫颈扩张双球囊前列腺素E2栓剂用于促宫颈成熟及足月妊娠引产效果分析 　　[摘要] 目的探讨宫颈扩张双球囊（COOK球囊）、前列腺素E2栓剂用于促宫颈成熟及足月妊娠引产的有效性和安全性。 方法 采取回顾对照研究方法，选取2013年3月~2014年3月在本院住院有引产指征的初产妇共240例，随机分为A组（COOK球囊组）80例、B组（前列腺素E2栓剂组）80例、C组（缩宫素组）80例。观察3组产妇的用药后促宫颈成熟及引产效果、用药后至临产时间、阴道分娩率、产后出血量、新生儿1 min Apgar评分及母婴并发症情况。 结果A组的引产总有效率为100.00%，B组为91.25%，C组为46.25%，3组的引产总有效率比较，差异有统计学意义（P0.05）。A、B组的用药后至临产时间明显短于C组，阴道分娩率明显高于C组，差异有统计学意义（P0.05）。 结论COOK球囊促宫颈成熟及引产效果与前列腺素制剂相当，且明显优于缩宫素，是一种更安全、有效、简单的促宫颈成熟及引产的方法，值得临床推广应用。 　　[关键词] 宫颈扩张双球囊；前列腺素E2栓剂；足月妊娠；引产 　　[中图分类号] R719.3[文献标识码] A[文章编号] 1674-4721（2014）06（c）-0041-04 　　 　　Effect analysis of cervix dilatation with double balloon,prostaglandin E2suppository and for cervical ripening and labor induction in full-term pregnancy 　　LUO Xue-qin LIAO Yu-yuan ZHU Sheng-yu WU Hai-lan 　　Department of Gynecology and Obstetrics,the First People′s Hospital in Nankang District of Ganzhou City in Jiangxi Province, Ganzhou 341400,China 　　[Abstract] Objective To explore the effectiveness and safety of cervix dilatation with double balloon (COOK balloon) and prostaglandin E2 suppository for cervical ripening and labor induction in full-term pregnancy. Methods By the method of retrospective control study,240 primiparae meeting the indications of induced labor who were admitted into our hospital from March 2013 to March 2014 were selected and evenly divided into three groups:the group A (the COOK balloon group),the group B (the prostaglandin E2 suppository group),and the group C (the oxytocin group) in random.Effect of cervical ripening and labor induction,time from medication to give birth,rate of vaginal parturition,postpartum amount of bleeding,neonatal Apgar score of 1 min and complications in maternal and child were observed in the three groups. Results The total effective rate of labor induction in the group A was 100.00%,the group B was 91.25%,and the group C was 46.25%,and there was a statistical difference of the total effective rate of labor induction in the three groups (P0.05).Time from medication