中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2013年
9期
1187-1189
,共3页
孙艳梅%范翠芳%陈建华%段志珍
孫豔梅%範翠芳%陳建華%段誌珍
손염매%범취방%진건화%단지진
气囊%引产/方法%先兆子(癎)%子(癎)%宫颈成熟
氣囊%引產/方法%先兆子(癎)%子(癎)%宮頸成熟
기낭%인산/방법%선조자(간)%자(간)%궁경성숙
Air sacs%Labor,induced/methods%Pre-eclampsia%Eclampsia%Cervical ripening
目的 探讨双球囊应用于子(痢)前期及子(痢)患者引产的有效性及安全性.方法 回顾性分析本院产科住院诊治的子(痢)前期及子(痢)患者共101例,其中选择性剖宫产64例,37例Bishop评分≤5分者自愿采用双球囊导管促宫颈成熟后阴道试产,比较双球囊置入前后宫颈成熟度变化,分析阴道分娩情况及分娩结局.结果 37例子(痢)前期及子(痢)患者置入水囊前宫颈Bishop评分[(3.38±0.50)分]明显低于置入水囊后[(6.44±0.63)分],其差异有统计学意义(t=23.54,P＜0.01)；水囊置入前后血压无明显变化[收缩压(158.38±13.89) mmHgvs(162.48±12.56) mmHg,P ＞0.05；舒张压(112.71±15.53) mmHg vs(108.19±8.37) mmHg,P＞0.05],其阴道分娩率为89.2％ (33/37),总产程(5.8±0.63)h,与选择性剖宫产相比,双球囊促宫颈成熟后阴道分娩者失血量明显减少(t =9.19,P＜0.01),产后恢复快,住院时间短(t =11.18,P＜0.01),新生儿出生体质量低(t =2.96,P＜0.01),新生儿出生后1 min Apgar评分值高(t=2.34,P＜0.05).结论 子(痢)前期及子(痢)患者采用双球囊置入能有效促宫颈成熟和扩张宫颈,其阴道分娩成功率高,且不增加新生儿窒息等并发症,其方法安全、有效.
目的 探討雙毬囊應用于子(痢)前期及子(痢)患者引產的有效性及安全性.方法 迴顧性分析本院產科住院診治的子(痢)前期及子(痢)患者共101例,其中選擇性剖宮產64例,37例Bishop評分≤5分者自願採用雙毬囊導管促宮頸成熟後陰道試產,比較雙毬囊置入前後宮頸成熟度變化,分析陰道分娩情況及分娩結跼.結果 37例子(痢)前期及子(痢)患者置入水囊前宮頸Bishop評分[(3.38±0.50)分]明顯低于置入水囊後[(6.44±0.63)分],其差異有統計學意義(t=23.54,P＜0.01)；水囊置入前後血壓無明顯變化[收縮壓(158.38±13.89) mmHgvs(162.48±12.56) mmHg,P ＞0.05；舒張壓(112.71±15.53) mmHg vs(108.19±8.37) mmHg,P＞0.05],其陰道分娩率為89.2％ (33/37),總產程(5.8±0.63)h,與選擇性剖宮產相比,雙毬囊促宮頸成熟後陰道分娩者失血量明顯減少(t =9.19,P＜0.01),產後恢複快,住院時間短(t =11.18,P＜0.01),新生兒齣生體質量低(t =2.96,P＜0.01),新生兒齣生後1 min Apgar評分值高(t=2.34,P＜0.05).結論 子(痢)前期及子(痢)患者採用雙毬囊置入能有效促宮頸成熟和擴張宮頸,其陰道分娩成功率高,且不增加新生兒窒息等併髮癥,其方法安全、有效.
목적 탐토쌍구낭응용우자(리)전기급자(리)환자인산적유효성급안전성.방법 회고성분석본원산과주원진치적자(리)전기급자(리)환자공101례,기중선택성부궁산64례,37례Bishop평분≤5분자자원채용쌍구낭도관촉궁경성숙후음도시산,비교쌍구낭치입전후궁경성숙도변화,분석음도분면정황급분면결국.결과 37례자(리)전기급자(리)환자치입수낭전궁경Bishop평분[(3.38±0.50)분]명현저우치입수낭후[(6.44±0.63)분],기차이유통계학의의(t=23.54,P＜0.01)；수낭치입전후혈압무명현변화[수축압(158.38±13.89) mmHgvs(162.48±12.56) mmHg,P ＞0.05；서장압(112.71±15.53) mmHg vs(108.19±8.37) mmHg,P＞0.05],기음도분면솔위89.2％ (33/37),총산정(5.8±0.63)h,여선택성부궁산상비,쌍구낭촉궁경성숙후음도분면자실혈량명현감소(t =9.19,P＜0.01),산후회복쾌,주원시간단(t =11.18,P＜0.01),신생인출생체질량저(t =2.96,P＜0.01),신생인출생후1 min Apgar평분치고(t=2.34,P＜0.05).결론 자(리)전기급자(리)환자채용쌍구낭치입능유효촉궁경성숙화확장궁경,기음도분면성공솔고,차불증가신생인질식등병발증,기방법안전、유효.
Objective To evaluate the efficacy and safety of labor induction by the double balloon device in women with preeclampsia and eclampsia.Methods Labor induction was carried out in 37 women with preeclampsia and eclampsia from July 2011 to November 2012.All the labor inductions were performed using the double balloon device.Results The cervical Bishop scores of 37 cases of patients with preeclampsia and eclampsia were significantly lower before using double balloon device [(3.38 ± 0.50) scores] compared with after using double balloon device [(6.44 ± 0.63) scores] with a statistically significant difference (t =23.54,P ＜0.01).Blood pressure had no obvious change before and after using double balloon device [SBP(158.38 ± 13.89)mmHg vs (162.48 ± 12.56)mmHg,P ＞ 0.05,and SDP(112.71± 15.53) mmHg vs (108.19 ± 8.37) mmHg,P ＞ 0.05].The rate of vaginal delivery was 89.2％ (33/37),and the total hours of labor were (5.8 ± 0.63) h.Compared with selective cesarean section,vaginal delivery after double balloon to promote cervical mature had less blood loss (t =9.19,P ＜0.01),quicker postpartum recovery,shorter hospitalization time (t =11.18,P ＜ 0.01),lower birth body mass (t =2.96,P ＜0.01) and higher scores of 1 minutes Apgar score (t =2.34,P ＜0.05).Conclusions The double balloon device appeared to be a safe and effective method to induce labor in women with preeclampsia and eclampsia.Wide scale studies and further use of the device for labor induction in women with preeclampsia and eclampsia were warranted.
