| 崔晓聪,董素芹.胎儿纤维连接蛋白联合宫颈Bishop评分对延期妊娠引产难易程度的预测价值[J].安徽医药,2018,22(2):301-303. |
| 胎儿纤维连接蛋白联合宫颈Bishop评分对延期妊娠引产难易程度的预测价值 |
| The value of fetal fibronectin combined with cervical Bishop score to predict the effect of delayed pregnancy induction |
| 投稿时间：2017-05-15 |
| DOI： |
| 中文关键词: 胎儿纤维连接蛋白 延期妊娠 引产 |
| 英文关键词: fetal fibronectin delayed pregnancy induction of labor |
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| 中文摘要: |
| 目的 探讨宫颈阴道分泌物中胎儿纤维连接蛋白(fFN) 联合宫颈Bishop评分对延期妊娠引产效果的预测价值。 方法随机选择孕龄287~293 d、单胎头位、无产科并发症且符合自然分娩指征的初产妇115例,在缩宫素引产前测定其宫颈阴道分泌物中fFN含量并进行宫颈Bishop评分,观察应用缩宫素引产的效果。 结果 115例延期妊娠的孕妇中,剔除引产未满72 h且尚未临产及因其他因素(如社会因素等)行剖宫产者11例,在符合研究条件的104例孕妇中,fFN检测阳性且宫颈Bishop评分>6分的孕妇有49例,其中引产成功的有46例,引产失败的有3例,其引产成功率为93.88%,高于单独采用 fFN 检测阳性或宫颈 Bishop 评分>6 分者的90.80%、75.76%。 结论 宫颈 Bishop评分和fFN检测均可以作为预测延期妊娠引产难易程度的评价指标,且fFN 检测阳性与宫颈 Bishop 评分>6 分联合应用,可显著提高延期妊娠引产成功率,提高其预测的准确性。 |
| 英文摘要: |
| Objective To study the clinical value of fetal fibronectin(fFN) combined with cervical Bishop score in predicting the effect of delayed pregnancy in cervical vaginal discharge. Methods Randomly selected gestational age in 287-293 days,single fetal head position,no obstetric complications and in line with the natural delivery of evidence of primipara in 115 cases.The content of fetal fibronectin in cervix vaginal secretions was measured before oxytocin was induced,and then the Bishop score was taken to observe the effect of oxytocin. Results 115 cases of pregnant women with delayed pregnancy,excluding induction of labor less than 72 hours,and not yet labor,due to other factors (such as social factors,etc.) cesarean section in 11 cases,in line with the conditions of this study of 104 pregnant women,fFN positive And cervical bishop score>6 points in 49 cases of pregnant women,of which 46 cases of successful induction of labor,induction of labor failure in 3 cases,the induction rate was 93.88%,higher than the use of fFN alone test or cervical Bishop score>6 points 90.80%,75.76%. Conclusion Cervical Bishop score and fFN test can be used as an evaluation index for predicting the difficulty of labor induced by delayed pregnancy,and fFN detection positive and cervical Bishop score>6 points in combination,can significantly improve the success rate of delayed pregnancy induced labor and improve the accuracy of its prediction. |
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