足月妊娠引产应用不同方法对促宫颈成熟的预后效果分析

目的探讨足月妊娠引产中不同方法对促宫颈成熟影响作用的预后效果。方法回顾性分析2014年1月至2015年1月在双流县中医医院妇产科分娩的500例足月妊娠孕妇的临床资料,根据采用促宫颈成熟方法将产妇分为前列腺素欣普贝生组(A组,231例)、小水囊组(B组,178例)和缩宫素组(C组,91例)3组,观察3组产妇宫颈评分、分娩方式和新生儿情况等。结果 3组促宫颈成熟总有效率分别为96.70%、95.50%、59.34%,3组比较差异有统计学意义(P0.05);A组与B组促宫颈成熟疗效比较差异无统计学意义(P0.05);C组临产时间、总产程和产后出血量分别为(34.90±8.72)h、(13.21±1.23)h和(307.08±29.83)m L],明显高于A组和B组(P0.05);A组和B组临产时间、总产程和产后出血量比较差异无统计学意义(P0.05);C组剖宫产率为74.73%,明显高于A组和B组的20.35%、23.03%,差异有统计学意义(P0.001);3组新生儿窒息、胎儿窘迫以及羊水粪染情况比较差异无统计学意义(P0.05)。结论欣普贝生以及小水囊在促宫颈成熟及引产过程中是安全有效的方法,而缩宫素促宫颈成熟以及引产效果较差。

Prognostic analysis of different methods on cervical ripening in induced labour of full-term pregnancy

Objective To investigate the effect of different methods on cervical ripening in induced labour of full - term pregnancy. Methods The clinical data of 500 cases with full-term pregnany delivered in TCM Hospital of Shuangliu County from January 2014 to January 2015 were retrospectively analyzed. According to the different methods of cervical ripening, the cases were divided into three groups:prostaglandin propess group ( group A,231 cases) , small water sac group ( group B, 178 cases) and oxytocin group ( group C, 91 cases) ,maternal cervical score, mode of delivery and neonatal situation of the three groups were observed. Results Cervical ripening total efficiency of the three groups were 96. 70 %, 95. 50 %, 59. 34 %. The differences of promoting cervical ripening effect of the three groups were statistically significant (P<0. 001);The difference of cervical ripening effect between group A and group B was not statistically significant (P>0. 05);Labor time, total labor and postpartum hemorrhage of group C were (34. 90 ±8. 72)h, (13. 21 ±1. 23)h and (307. 08 ±29. 83)mL], significantly higher than those of group A and group B (P<0. 001);The differences of labor time, total labor and postpartum hemorrhage of group A and group B were not statistically significant (P>0. 05);Cesarean section rate (74. 73 %)of group C was significantly higher than that of group A (20. 35 %) and group B(23. 03 %), the difference was statistically significant (P<0. 001);The difference of neonatal asphyxia, fetal distress, meconium stained amniotic fluid of the three groups were not statistically significant (P>0. 05). Conclusion Propess and small water sac in the cervical ripening and labor induction process is safe and effective, oxytocin in promoting cervical ripening and labor induction is poor.