| 足月妊娠高血压孕妇应用cook球囊和米索前列醇的分娩情况与母儿结局 |
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| 引用本文： | 胡丽文,于慧,张程程,郑海雪,陈茹.足月妊娠高血压孕妇应用cook球囊和米索前列醇的分娩情况与母儿结局[J].中华全科医学,2019,17(9):1533. |
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| 作者姓名： | 胡丽文 于慧 张程程 郑海雪 陈茹 |
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| 作者单位： | 瑞安市妇幼保健院妇产科, 浙江 瑞安 325200 |
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| 基金项目： | 浙江医药卫生科技计划项目(2019RC280) |
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| 摘 要： | 目的 探究足月妊娠高血压孕妇应用cook球囊和米索前列醇的分娩情况与母儿结局。 方法 选取2017年6月—2018年5月间于瑞安市妇幼保健院计划分娩的足月妊娠高血压产妇110例，采用随机数字表法随机分为球囊组(55例)和米索前列醇组(55例)，分别应用cook球囊和口服米索前列醇引产，比较2组产妇的分娩情况、经阴道分娩者引产到生产的情况、引产及分娩期间并发症、新生儿情况以及引产后不良反应发生情况。 结果 2组产妇胎膜破裂时间、第一产程时间及第二产程时间差异无统计学意义(P>0.05)，球囊组经阴道分娩、促宫颈成熟有效、催产素使用及人工破膜例数明显高于米索前列醇组，而引产到临产的时间明显低于米索前列醇组(P<0.05)。球囊组经阴道分娩的总例数(74.54%)明显高于米索前列醇组(52.72%)，且球囊组引产到分娩的最长时间明显少于米索前列醇组(P＜0.001)。球囊组引产及分娩期间并发症的总发生率43.64%，明显低于米索前列醇组65.45%(P=0.035)。2组产妇所产新生儿的Apgar评分、新生儿死亡率、送入新生儿监护室的例数、新生儿吸氧例数及并发症发生情况差异无统计学意义(P>0.05)。2组产妇头晕、恶心、呕吐和潜伏期长时间镇痛的发生情况差异无统计学意义(P>0.05)。 结论 对于足月的妊娠高血压产妇，与口服米索前列醇相比，cook球囊能有效缩短产程时间，提高引产的成功率，减少分娩并发症，安全性高。
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| 关 键 词： | cook球囊 米索前列醇 妊娠高血压 足月 |
| 收稿时间： | 2019-02-20 |
Cook balloon and misoprostol in full-term pregnant women with hypertension and maternal and child outcomes |
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| Affiliation: | Department of Obstetrics and Gynecology, Ruian People's Hospital, Rui'an, Zhejiang 325200, China |
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| Abstract: | Objective To explore the value of cook cervical dilatation balloon versus misoprostol for induction of labour in full-time pregnancy hypertensive women. Methods From June 2017 to May 2018, 110 hypertensive parturient women of full-time pregnancy who plan to delivered in our hospital were randomly divided into balloon group (55 cases) and misoprostol group (55 cases) and were given cook cervical dilatation balloon and oral misoprostol respectively for induction. The delivery situation, the information of induction to vaginal birth, complication of induction and birth, newborn information and complication after induction. Results No significant difference in Rupture of membranes, first stage of labor and second stage of labor between the two group (P>0.05) and the cases of vaginal birth, effective cervix mature improving, cases of oxytocin usage and artifact rupture of membranes were significantly higher in balloon group than those in misoprostol group and time from induction to parturient in balloon group were lower than those in misoprostol group (P<0.05). The total cases of induction to vaginal birth in balloon group (74.54%) was significantly higher than that in misoprostol group (52.72%) and total time from induction to birth in balloon group was significantly lower than that in misoprostol group (P＜0.001). The total rate of complication in balloon group (43.64%) was significantly higher than that in misoprostol group (65.45%)， P=0.035. Apgar score, newborn death, cases admitted to nursery, given oxygen and complication were no significant different between two group (P>0.05). No significant difference were found in dizziness, nausea, vomit and long pain during incubation between two group (P>0.05). Conclusion For hypertensive parturient women of full-time pregnancy, comparing with oral misoprostol, cook cervical dilatation balloon can short the stage of delivery, increase success rate of induction, reduce delivery complication and has high safety. |
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