CAJ | 학술논문

目的：比较宫颈扩张双球囊导管和地诺前列酮栓用于妊娠晚期促宫颈成熟的效果。方法回顾性分析足月妊娠、具有引产指征、宫颈Bishop评分≤5分的382例初产妇，其中球囊组200例和药物组182例，比较两组的促宫颈成熟效果及24 h内阴道分娩率，引产至阴道分娩所需时间。结果两组剖宫产率差异无统计学意义（25.5%vs 24.2%，P=0.67），药物组促宫颈成熟的效果高于球囊组（2.68±0.87 vs 2.44±0.74，P<0.01）；药物组引产至阴道分娩时间低于球囊组[（17.13±2.56） h vs （19.86±2.96） h，P<0.01）]；24 h内阴道分娩率两组无明显差别。结论两组引产方法均可提高宫颈不成熟孕妇阴道分娩率，对低评分宫颈不成熟的妊娠晚期患者，地诺前列酮栓促宫颈成熟效果优于双球囊导管。
목적：비교궁경확장쌍구낭도관화지낙전렬동전용우임신만기촉궁경성숙적효과。방법회고성분석족월임신、구유인산지정、궁경Bishop평분≤5분적382례초산부，기중구낭조200례화약물조182례，비교량조적촉궁경성숙효과급24 h내음도분면솔，인산지음도분면소수시간。결과량조부궁산솔차이무통계학의의（25.5%vs 24.2%，P=0.67），약물조촉궁경성숙적효과고우구낭조（2.68±0.87 vs 2.44±0.74，P<0.01）；약물조인산지음도분면시간저우구낭조[（17.13±2.56） h vs （19.86±2.96） h，P<0.01）]；24 h내음도분면솔량조무명현차별。결론량조인산방법균가제고궁경불성숙잉부음도분면솔，대저평분궁경불성숙적임신만기환자，지낙전렬동전촉궁경성숙효과우우쌍구낭도관。
Objective To compare the efficacy of double balloon catheter and dinoprostone suppositories on maturing cervix and parturifacient action. Methods A total of 382 full-term nulliparous women (200) cases in double balloon group and 182 cases in dinoprostone suppositories medicine group) with labour induction indications and unfavourable cervices (Bishop score≤5scores) were collected for retrospective analysis. The promoting effects of the two methods on cervical ripening, 24-hour vaginal delivery rates and inductiondelivery intervals were compared. Results There was no difference in ceasarean delivery rates between two groups (25.5% vs 24.2%, P=0.67). Dinoprostone suppositories was more effective in promoting cervical ripening (2.68±0.87 vs 2.44±0.74, P<0.01). The induction-to-delivery interval was longer in the double balloon group (19.86±12.96)h than that in the medicine group(17.13±2.56)h (P<0.01). Conclusion Labour induction in nullipara with unfavourable cervices improve delivery rates. Dinoprostone suppositories is better than double balloon in promoting cervical ripening.