| 摘要: |
| ［摘要］ 目的 探讨双腔气囊导尿管对延期妊娠促宫颈成熟的临床效果。方法 随机将孕（产）妇200例分为试验组和对照组各100例。对照组入院后当日即给予低浓度缩宫素2.5 U加生盐水500 ml静滴引产。试验组入院后次日给予常规外阴、阴道、宫颈消毒后宫颈插入双腔气囊导尿管，气囊内注入60 ml生理盐水，置管次日进行宫颈评分，宫颈评分>7分以上者为有效，没有出现规律宫缩者给予缩宫素同对照组。视宫缩调速，适时行人工破膜；宫口开大3 cm伴有规律宫缩者期待自然分娩。观察两组孕妇宫颈评分、分娩启动时间及分娩总产程、新生儿出生后评分、产后并发症发生率（生殖道感染和宫颈裂伤）。对比两组治疗后的临床效果。结果 试验组临床疗效优于对照组，差异有统计学意义（P<0.05）。使用12 h试验组的宫颈评分高于对照组，试验组剖宫产率低于对照组（14.00% vs 29.00%），差异有统计学意义（P<0.05）。试验组在分娩启动时间、分娩总产程短于对照组，差异有统计学意义（P<0.01），两组在产后并发症发生率（生殖道感染和宫颈裂伤）、新生儿体重、新生儿评分方面比较差异无统计学意义（P>0.05）。结论 双腔气囊导尿管用于延期妊娠促宫颈成熟安全有效，值得推广。 |
| 关键词: 双腔气囊导尿管 延期妊娠 促宫颈成熟 缩宫素 |
| DOI：10.3969/j.issn.1674-3806.2015.10.05 |
| 分类号:R 714 |
| 基金项目:广西钦州市科学研究与技术开发计划项目(编号:20135811) |
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| Clinical studies of double lumen Foley catheter on cervical ripening in obstetrical delayed pregnancy |
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LIANG Qing-fen
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Depatment of Obstetrics and Gynecology, Meternal and Child Health Care Hospital of Lingshan County, Guangxi 535400, China
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| Abstract: |
| ［Abstract］ Objective To investigate the cervical ripening effect of double lumen Foley catheter in obstetrical delayed pregnancy.Methods Two hundred pregnant women who had delayed pregnancy were randomly divided into the experimental group(n=100) and the control group(n=100). On the day of admission the control group was given the low concentration of oxytocin(2.5 U in 500 ml normal saline) intravenously for labor induction. On the next day after admission, the experimental group received routine disinfection for vulva, vagina and cervix,then the double lumen Foley catheter was inserted into the cervix. On the next day after catheterization, cervix was examined for cervical score, with cervical scores more than seven points or more being defined as effectiveness. For pregrant women with irregularuterine contraction, the low contraction of oxytocin was given(the dose was the same as that in the control group). The infusing speed was adjusted according to the condition of uterine contraction and the condition that timely artificial rupture was performed; Pregnant women who had cervix dilativn of 3 cm and regular contractions should be expected natural childbirth. Cervical score, the onset time of labor and total delivery labor time, neonatal scoring after birth, postpartum morbidity(reproductive tract infections and cervical laceration)were observed in the two groups, and the clinical effects after treatment were compared between the two groups.Results The effective rate in the experimental group was significantly higher than that in the control group(P<0.05). The cervical score in the experimental group was significantly higher than that in the control group after catheterization for 12 hours(P<0.05). The cesarean section rate was significantly lower in the experimental group than that in the control group(14.00% vs 29.00%)(P<0.05). The onset time of labor and the total delivery labor time in the experimental group were significantly shorter than those in the control group(P<0.01). There were no significant differences in the incidence of postpartum(reproductive tract infections and cervical laceration), birth weight, neonatal scoring between the two groups(P>0.05).Conclusion Application of double lumen Foley catheter for cervical ripening in delay pregnancy is safe and effective. |
| Key words: Double lumen Foley catheter Delayed pregnancy Cervical ripening Oxytocin |
