| 朱红云,赵囡囡,周洪英,等.不同人工破膜时机在宫颈扩张球囊引产中的应用[J].安徽医药,2019,23(3):527-529. |
| 不同人工破膜时机在宫颈扩张球囊引产中的应用 |
| The application of different artificial rupture time in cervical dilation balloon induced labor |
| 投稿时间：2017-03-10 |
| DOI： |
| 中文关键词: 宫颈扩张球囊引产可有效促进足月妊娠晚期宫颈成熟,如取出水囊2 h后再予人工破膜可缩短第一产程时间,无需过早干涉产程进展。 关键词:宫颈扩张球囊 人工破膜 宫颈成熟 |
| 英文关键词: Cervical dilation balloon Artificial rupture in Cervical mature |
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| 中文摘要: |
| 目的 探讨不同人工破膜时机在宫颈扩张球囊引产中应用的有效性及安全性。 方法 回顾性分析2013年1月至2016年2月在仪征市人民医院住院采用宫颈扩张球囊引产的170例孕产妇的临床资料,取出球囊时宫颈评分均≥4分, 均未破膜且临产后予人工破膜,根据不同破膜时机分为两组。A组90例,球囊取出后如无明显宫缩予缩宫素试产,试产2 h后即人工破膜；B组80例,球囊取出后即刻予人工破膜,破膜后0.5 h如宫缩乏力再予缩宫素试产,观察两组产妇的产程影响和分娩结局。 结果 A、B两组第一产程时间[(4.12±0.38)h比(12.12±1.27)h]、剖宫产率(14.4%比27.5%)、剖宫产术后抗生素使用时间[(39.42±7.49)h比(70.42±5.31)h],A组均低于B组,差异有统计学意义(P<0.05)；A组顺产产后低热度数低于B组、新生儿轻度窒息例数A组7例高于B组5例,但差异无统计学意义(P>0.05)；两组无一例发生新生儿重度窒息、子宫破裂、宫颈裂伤、羊水栓塞、宫内感染以及产后大出血、产褥感染。 |
| 英文摘要: |
| Objective To investigate the effectiveness and safety of the application of different artificial rupture time in cervical dilation balloon induced labor. Methods The clinical data of 170 cases of pregnant women admitted to yizheng people′s hospital from January 2013 to February 2016 who underwent cervical dilation balloon to induce labor were retrospectively analyzed.The cervical scores when the balloon was removed were all greater than or equal to 4 points and artificial rupture was conducted after labor.Patients were divided into two groups according to the artificial rupture time.Group Awith 90 cases (observation group) after balloon out if there is no obvious contractions to oxytocin trial-produce,were artificial ruptured 2 hours later;Group Bwith 80 cases,(control group) after balloon out,were immediately artificial ruptured.Trial production was conducted if uterine contractions were weak 0.5 h after membrane rupture.Maternal labor and birth outcomes in the two groups were observed. Results A set of artificial rupture in surgical operation time,the first labor[(4.12±0.38)h vs.(12.12±1.27)h],cesarean section rate(14.4% vs. 27.5%),antibiotic use time,natural labor postpartum fever after cesarean section [(39.42±7.49)h vs.(70.42±5.31)h] were lower than group B,the difference was statistically significant (P<0.05);Group Anewborn mild asphyxia rate is higher than group B,but there was no statistically significant difference (P>0.05);No two groups took place caused by intrauterine infection,puerperal infection,cervical laceration,severe asphyxia,amniotic fluid embolism. Conclusion cervical dilation balloon induced labor can effectively promote cervical mature late pregnancy to full term pregnancy,such as remove water sac again after 2 h to artificial rupture in artificial rupture in can shorten the time,need not too early intervention in labor progress. |
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