| 韦芳琴,刘荃,张念.宫颈单、双扩张球囊和缩宫素对孕足月妊娠期糖尿病孕妇引产中促宫颈成熟的疗效及母婴结局的影响[J].安徽医药,2019,23(9):1871-1874. |
| 宫颈单、双扩张球囊和缩宫素对孕足月妊娠期糖尿病孕妇引产中促宫颈成熟的疗效及母婴结局的影响 |
| Effect of cervical dilatation single-balloon catheter，double-balloon catheter，and oxytocin in the induced labor among women with gestational diabetes mellitus and their influence on the delivery outcomes |
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| DOI：10.3969/j.issn.1009-6469.2019.09.046 |
| 中文关键词: 妊娠期糖尿病 球囊 宫颈成熟 分娩结局 |
| 英文关键词: Gestational diabetes mellitus Balloon catheter Cervical ripening Delivery outcome |
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| 中文摘要: |
| 目的 探讨宫颈单、双扩张球囊及缩宫素用于孕足月妊娠期糖尿病(GDM)引产的效果及其对母婴分娩结局的影响。方法 选取2018年1—12月合肥市滨湖医院收治的240例孕足月符合阴道分娩基本要求的GDM孕妇作为研究对象，将240例GDM孕妇采用随机数字表法分为单球囊组(80例)、双球囊组(80例)及缩宫素组(80例)。观察三组孕妇经不同引产方法处理后的宫颈成熟度，比较分娩后的母婴结局。结果 双球囊组及单球囊组促宫颈成熟成功率分别为93.6%和91.3%，均高于缩宫素组(66.3%)，差异有统计学意义(χ2＝18.906、14.939，P＝0.000)；双球囊组及单球囊组剖宫产率分别为20.0%和21.2%，均低于缩宫素组(38.7%)，差异有统计学意义(χ2＝6.778、5.833，P＝0.009、0.016)。三组产妇发生羊膜腔感染、产后出血、胎儿窘迫、新生儿窒息及新生儿低血糖比较，差异无统计学意义(P＞0.05)。结论 对足月GDM孕妇采用宫颈扩张单、双球囊引产均可明显有效的促进宫颈成熟，提高阴道分娩成功率，单、双球囊机械性促宫颈成熟优于缩宫素组。 |
| 英文摘要: |
| Objective To evaluate the efficacy for cervical ripening by single-balloon，double-balloon and oxytocin in the induced labor among women with gestational diabetes mellitus (GDM) and their influence on the delivery outcomes.Methods 240 cases of patients at full term with GDM taken into the Obstetrics Department of our hospital from January 2018 to December 2018 were selected as the research objects and randomly divided into the group of cervical dilatation single-balloon (80 cases)，double-balloon group (80 cases) and the oxytocin group (80 cases).The cervical ripening of lying-in women in three groups were observed and their delivery outcomes and neonatal complications were compared.Results The success rates of cervical ripening in the double-balloon group and the single-balloon group were 93.6% and 91.3% respectively，both of which were higher than the oxytocin group (66.3%).The difference was with statistical significance (χ2＝18.906，14.939，P＝0.000).The cesarean rates in the double-balloon group and the single-balloon group were 20.0% and 21.2% respectively，both of which were lower than the oxytocin group (38.7%).The difference was of statistical significance (χ2＝6.778，5.833，P＝0.009，0.016).Difference in the incidence of chorioamnionitis，intrapartum or postpartum hemorrhage，neonatal hypoglycemia and neonatal asphyxia between 3 groups of lying-in women was of no statistical significance (P＞0.05).Conclusion Both single-balloon catheter and double-balloon catheter for patients at full term with GDM could better promote cervical ripening，improve the success rate of vaginal delivery.Single-balloon catheter and double-balloon catheter can mechanically promote cervical ripening，which is superior to oxytocin group. |
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