[1]张志巧.宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性[J].医学信息,2021,34(24):99-101.[doi:10.3969/j.issn.1006-1959.2021.24.023]
　ZHANG Zhi-qiao.Clinical Efficacy and Safety of Cervical Dilation Balloon and Misoprostol in Promoting Cervical Ripening and Induction of Labor in Primiparae with Full-term Pregnancy[J].Medical Information,2021,34(24):99-101.[doi:10.3969/j.issn.1006-1959.2021.24.023]
点击复制

宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年24期
页码:
99-101
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Clinical Efficacy and Safety of Cervical Dilation Balloon and Misoprostol in Promoting Cervical Ripening and Induction of Labor in Primiparae with Full-term Pregnancy
文章编号:
1006-1959（2021）24-0099-03
作者:
张志巧
（上饶市广信区人民医院妇产科，江西 上饶 334100）
Author(s):
ZHANG Zhi-qiao
(Department of Obstetrics and Gynecology,Guangxin District People’s Hospital,Shangrao 334100,Jiangxi,China)
关键词:
宫颈扩张球囊; 米索前列醇; 足月妊娠; 初产妇; 引产
Keywords:
Cervical dilatation balloon; Misoprostol; Full-term pregnancy; Primipara; Induction
分类号:
R714
DOI:
10.3969/j.issn.1006-1959.2021.24.023
文献标志码:
A
摘要:
目的 研究宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性。方法 选取2018年8月-2021年8月在我院分娩的62例足月妊娠促宫颈成熟引产初产妇为研究对象，随机分为对照组和观察组，各31例。对照组采用米索前列醇促宫颈成熟引产，观察组采用宫颈扩张球囊引产。比较两组宫颈Bishop评分、促宫颈成熟效果、分娩方式、新生儿Apgar评分、总产程时间、母婴并发症发生率。结果 干预后，两组宫颈Bishop评分均高于干预前，且观察组高于对照组（P＜0.05）。观察组促宫颈成熟总有效率高于对照组（93.55% vs 80.65%），阴道分娩率高于对照组（74.19% vs 51.61%），剖宫产分娩率低于对照组（25.81% vs 48.39%），差异均有统计学意义（P＜0.05）。两组新生儿Apgar评分、总产程时间与对照组比较，差异无统计学意义（P＞0.05）。观察组母婴并发症发生率低于对照组（9.68% vs 22.58%），差异有统计学意义（P＜0.05）。结论 宫颈扩张球囊在足月妊娠初产妇促宫颈成熟引产中疗效确切，可提高宫颈成熟总有效率，提高宫颈Bishop评分和阴道分娩率，降低并发症发生率，且不会延长产程时间，安全性理想。
Abstract:
Objective To study the clinical efficacy and safety of cervical dilation balloon and misoprostol in promoting cervical ripening and induction of labor in primiparae with full-term pregnancy.Methods From August 2018 to August 2021, 62 cases of full-term pregnancy induced by cervical ripening were randomly divided into control group and observation group, with 31 cases in each group. The control group was induced by misoprostol for cervical ripening, and the observation group was induced by cervical dilatation balloon. The cervical Bishop score, cervical ripening effect, delivery mode, neonatal Apgar score, total delivery time, and incidence of maternal and infant complications were compared between the two groups.Results After the intervention, the cervical Bishop scores of the two groups were higher than those before the intervention, and the observation group was higher than the control group (P<0.05). The total effective rate of cervical ripening in the observation group was higher than that in the control group (93.55% vs 80.65%), the vaginal delivery rate in the observation group was higher than that in the control group (74.19% vs 51.61%), and the cesarean delivery rate was lower than that in the control group (25.81% vs 48.39%), the difference was statistically significant (P<0.05). There was no significant difference in Apgar score and total labor time between the two groups (P>0.05). The incidence of maternal and infant complications in the observation group was lower than that in the control group (9.68% vs 22.58%), and the difference was statistically significant (P<0.05).Conclusion Cervical dilatation balloon is effective in promoting cervical ripening and induction of labor in primipara of full-term pregnancy, which can improve the total effective rate of cervical ripening, improve cervical Bishop score and vaginal delivery rate, reduce the incidence of complications, and does not prolong the labor time, the safety is ideal.

参考文献/References:

[1]黄慧敏.COOK子宫颈扩张球囊和一次性宫颈扩张球囊与缩宫素促宫颈成熟的效果比较[J].中国妇幼保健,2017,32(15):3667-3669.[2]王海锋,葛丽娟,李晖,等.保妇康栓联合米非司酮及米索前列醇在孕中期引产中的作用[J].陕西中医,2016,37(10):1291-1292.[3]Nuamah MA,Sagawa N,Yura S,et al.IS-93 The Free to TotalLeptin Ratio in the Plasma of Pregnant Women Remains Constant during Pregnancy and Labor[J].Acta Biochimica Et Biophysica Sinica,2016,48(1):45.[4]徐佳,刘朵朵,马向东,等.利凡诺尔联合Cook宫颈扩张球囊在妊娠中期引产中的应用[J].中国妇幼健康研究,2017,28(7):864-866.[5]陈杨蓓.宫颈扩张球囊对促进足月妊娠患者宫颈成熟度及分娩结局的影响[J].中国妇幼保健,2017,32(7):1568-1570.[6]侯丹凤.COOK子宫颈扩张球囊用于妊娠期糖尿病孕妇促宫颈成熟的效果评价[J].实用临床医药杂志,2016,20(7):143-145.[7]李雪媛,劳力,张映辉,等.地诺前列酮栓用于不同宫颈条件孕产妇引产疗效及安全性研究[J].中国实用妇科与产科杂志,2017,33(6):626-631.[8]赵立英,严向梅,吴琼仙.妊娠晚期引产前2种促宫颈成熟方法的疗效[J].昆明医科大学学报,2017,38(1):121-124.[9]王月兰,薛娟,李幼娟,等.Foley尿管低位小水囊和小剂量米索前列醇在足月妊娠引产中的应用价值[J].现代中西医结合杂志,2017,26(23):66-68.[10]谢春艳,唐微,杜子健,等.Foley尿管、缩宫素及米索前列醇用于足月妊娠促宫颈成熟的效果比较[J].海南医学,2019,30(3):67-69.[11]卢章霞,郑建琼.Cook宫颈扩张球囊在妊娠晚期引产中的临床应用[J].中国性科学,2018,27(1):103-106.[12]张利平,徐静.Cook宫颈扩张球囊与米索前列醇用于妊娠晚期促宫颈成熟的疗效对比[J].实用医学杂志,2018,34(18):87-90.[13]Souizi B,Mortazavi F,Haeri S,et al.Comparison of vaginal misoprostol,laminaria,and isosorbide dinitrate on cervical preparation and laborduration of term parturient: a randomized double-blind clinical trial[J].Elect Physician Med,2018,10(5):6756-6763.[14]薛娟,王月兰,李幼娟,等.孕晚期不同引产方法的临床应用效果比较[J].中国医药导报,2017,14(21):121-124.[15]白洁,曹佳宇,刘聪慧,等.小剂量催产素引产与COOK宫颈扩张球囊引产对足月妊娠引产的临床效果比较[J].医学临床研究,2017,34(9):1849-1851.[16]夏天,朱红娣.COOK宫颈扩张球囊促宫颈成熟及引产的效果[J].江苏医药,2016,42(11):1301-1302.[17]郁玲珏,于淼淼.一次性宫颈球囊扩张器在足月妊娠促宫颈成熟及引产中的临床应用价值[J].中国性科学,2017,26(4):128-131.[18]于晓雯,魏娟娟,熊晨菡,等.宫颈扩张球囊促宫颈成熟在逾期妊娠引产中的应用[J].蚌埠医学院学报,2016,41(4):470-472.[19]Wang X,Yang A,Ma Q,et al.Comparative study of titrated oral misoprostolsolution and vaginal dinoprostone for labor induction at termpregnancy[J].Arch Gynecol Obstet,2016,294(3):495-503.

相似文献/References:

[1]周 鑫,王 明,魏 宏.药物流产终止乙肝病毒感染患者10~14周妊娠的 安全性及有效性分析[J].医学信息,2018,31(12):112.[doi:10.3969/j.issn.1006-1959.2018.12.035]
　ZHOU Xin,WANG Ming,WEI Hong.Analysis of Safety and Effectiveness of Stopping Hepatitis B Virus Infection in 10 to 14 Weeks of Pregnancy by Drug Abortion[J].Medical Information,2018,31(24):112.[doi:10.3969/j.issn.1006-1959.2018.12.035]
[2]陈晓娟,卢芳芳,周芳英.丙泊酚、枸橼酸舒芬太尼联合米索前列醇用于无痛人流术的效果[J].医学信息,2019,32(23):154.[doi:10.3969/j.issn.1006-1959.2019.23.048]
　CHEN Xiao-juan,LU Fang-fang,ZHOU Fang-ying.Effect of Propofol,Sufentanil citrate and Misoprostol on Painless Abortion[J].Medical Information,2019,32(24):154.[doi:10.3969/j.issn.1006-1959.2019.23.048]
[3]张 勇.阴道放置米索前列醇在终止6~10周妊娠负压吸宫术前的应用[J].医学信息,2019,32(24):143.[doi:10.3969/j.issn.1006-1959.2019.24.051]
　ZHANG Yong.Application of Vaginal Misoprostol Before Termination of Negative Pressure Uterine Aspiration with 6 to 10 Weeks[J].Medical Information,2019,32(24):143.[doi:10.3969/j.issn.1006-1959.2019.24.051]
[4]李晓君.麦角新碱联合米索前列醇、缩宫素在胎盘早剥产后大出血的临床效果及对应激反应的影响[J].医学信息,2023,36(19):141.[doi:10.3969/j.issn.1006-1959.2023.19.031]
　LI Xiao-jun.Clinical Effect of Ergometrine Combined with Misoprostol and Oxytocin in Postpartum Hemorrhage of Placental Abruption and its Effect on Stress Response[J].Medical Information,2023,36(24):141.[doi:10.3969/j.issn.1006-1959.2023.19.031]
[5]许淑萍.米索前列醇对宫内节育器取出术绝经期女性软化宫颈的效果[J].医学信息,2021,34(24):144.[doi:10.3969/j.issn.1006-1959.2021.24.037]
　XU Shu-ping.Effect of Misoprostol on Cervical Softening in Intrauterine Device Removal Surgery in Postmenopausal Women[J].Medical Information,2021,34(24):144.[doi:10.3969/j.issn.1006-1959.2021.24.037]
[6]张迎春.间苯三酚与米索前列醇对宫腔镜术前宫颈扩张效果及不良反应的影响[J].医学信息,2024,37(15):87.[doi:10.3969/j.issn.1006-1959.2024.15.019]
　ZHANG Ying-chun.Effect of Phloroglucinol and Misoprostol on Cervical Dilatation and Adverse Reactions Before Hysteroscopy[J].Medical Information,2024,37(24):87.[doi:10.3969/j.issn.1006-1959.2024.15.019]
[7]梅六妹.宫颈扩张球囊联合催产素引产对于宫颈时机不成熟产妇自然分娩的影响评价[J].医学信息,2024,37(18):92.[doi:10.3969/j.issn.1006-1959.2024.18.017]
　MEI Liu-mei.Evaluation of the Effect of Cervical Dilatation Balloon Combined with Oxytocin Inductionon Natural Delivery of Pregnant Women with Immature Cervix[J].Medical Information,2024,37(24):92.[doi:10.3969/j.issn.1006-1959.2024.18.017]
[8]王 敏.宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的效果比较[J].医学信息,2021,34(22):94.[doi:10.3969/j.issn.1006-1959.2021.22.028]
　WANG Min.Comparison of Cervical Dilation Balloon and Misoprostol in Promoting Cervical Ripening and Induction of Labor in Primiparae with Full-term Pregnancy[J].Medical Information,2021,34(24):94.[doi:10.3969/j.issn.1006-1959.2021.22.028]

更新日期/Last Update: 1900-01-01