CAJ | 학술논문

目的：探讨Foleys导管配合地西泮在计划分娩中的应用效果。方法将150例产妇随机分为Foleys导管配合地西泮组、Foleys导管组和小剂量缩宫素+地西泮组各50例。Foleys导管配合地西泮组采用Foleys导管配合地西泮促宫颈成熟，镇痛镇静；Foleys导管组采用Foleys导管促宫颈成熟；小剂量缩宫素+地西泮组采用小剂量缩宫素+地西泮促宫颈成熟。观察宫颈成熟情况，产程长短，新生儿出生1 min的Apgar评分情况。结果 Foleys导管配合地西泮组产程短于其他两组，引产失败率、剖宫产率低于其他两组，差异有统计学意义(P<0.05)，3组胎儿出生体重及1 min Apgar评分<7分比率差异无统计学意义(P>0.05)。3组治疗前产妇Bishop评分差异无统计学意义(P>0.05)，治疗后Foleys导管配合地西泮组Bishop评分高于其他两组，差异有统计学意义(P=0.002)。 Foleys导管配合地西泮组产妇胎儿窘迫、羊水污染及产后出血发生率低于其他两组(P<0.05)。结论 Foleys导管配合地西泮能有效用于足月妊娠促进宫颈成熟，简单易行，安全有效，对母婴安全无不良影响，效果优于Foleys导管及小剂量缩宫素+地西泮，值得临床推广。
목적：탐토Foleys도관배합지서반재계화분면중적응용효과。방법장150례산부수궤분위Foleys도관배합지서반조、Foleys도관조화소제량축궁소+지서반조각50례。Foleys도관배합지서반조채용Foleys도관배합지서반촉궁경성숙，진통진정；Foleys도관조채용Foleys도관촉궁경성숙；소제량축궁소+지서반조채용소제량축궁소+지서반촉궁경성숙。관찰궁경성숙정황，산정장단，신생인출생1 min적Apgar평분정황。결과 Foleys도관배합지서반조산정단우기타량조，인산실패솔、부궁산솔저우기타량조，차이유통계학의의(P<0.05)，3조태인출생체중급1 min Apgar평분<7분비솔차이무통계학의의(P>0.05)。3조치료전산부Bishop평분차이무통계학의의(P>0.05)，치료후Foleys도관배합지서반조Bishop평분고우기타량조，차이유통계학의의(P=0.002)。 Foleys도관배합지서반조산부태인군박、양수오염급산후출혈발생솔저우기타량조(P<0.05)。결론 Foleys도관배합지서반능유효용우족월임신촉진궁경성숙，간단역행，안전유효，대모영안전무불량영향，효과우우Foleys도관급소제량축궁소+지서반，치득림상추엄。
Objective To investigate the effect of Foleys catheter combined with diazepam for planned delivery. Meth-ods 150 patients were randomly divided into Foleys catheter combined with diazepam group,Foleys catheter group and oxytocin combined with diazepam group,50 cases in each.Foleys catheter combined with diazepam group were treated with Foleys catheter combined with diazepam diazepam.Foleys catheter group were treated with Foleys catheter.Oxy-tocin combined with diazepam group were treated with low dose oxytocin and diazepam.Cervical maturation,duration of labor,Apgar score of birth one minute in 3 groups were compared. Results The production process of Foleys catheter combined with diazepam group was shorter than that of the other two groups,induction failure rate and cesarean section rate of Foleys catheter combined with diazepam group was lower than those of the other two groups,the differences were significant (P<0.05);there were no significant differences about tetal birth weight and 1 min Apgar score < 7 points in three groups (P>0.05).Bishop score of three groups before treatment had no significant difference (P>0.05);after treat-ment,Bishop score of Foleys catheter combined with diazepam group was higher than that of the other two groups,the difference was significant (P<0.05).The incidence of maternal fetal distress,meconium and postpartum hemorrhage of Foleys catheter combined with diazepam group was lower than that of the other two groups,the difference was significant (P<0.05). Conclusion Foleys catheter diazepam for full-term pregnancy can effectively promote cervical ripening,is simple, safe and effective,and has no adverse effects on mother and child.Effect of Foleys catheter combined with di-azepam is better than Foleys catheter and low dose oxytocin combined with diazepam,and is worthy of promotion.