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    马本红, 谢娜. FOLEY尿管小水囊联合小剂量缩宫素用于低宫颈评分足月妊娠引产的效果分析[J]. 徐州医科大学学报, 2019, 39(11): 815-818.
    引用本文: 马本红, 谢娜. FOLEY尿管小水囊联合小剂量缩宫素用于低宫颈评分足月妊娠引产的效果分析[J]. 徐州医科大学学报, 2019, 39(11): 815-818.
    The analysis of FOLEY catheter balloon and low-dose of oxytocin for induction of labor in low cervical score at term[J]. Journal of Xuzhou Medical University, 2019, 39(11): 815-818.
    Citation: The analysis of FOLEY catheter balloon and low-dose of oxytocin for induction of labor in low cervical score at term[J]. Journal of Xuzhou Medical University, 2019, 39(11): 815-818.

    FOLEY尿管小水囊联合小剂量缩宫素用于低宫颈评分足月妊娠引产的效果分析

    The analysis of FOLEY catheter balloon and low-dose of oxytocin for induction of labor in low cervical score at term

    • 摘要: 目的 探讨Foley尿管小水囊联合小剂量缩宫素静脉滴注促宫颈成熟在低宫颈评分足月妊娠引产中的应用效果。方法 选取2017年6月至2019年6月于本院待产的足月妊娠、单胎头位、宫颈Bishop评分≤4分、无引产禁忌的初产妇180例,随机分为观察组(Foley尿管小水囊联合小剂量缩宫素)90例、对照组(小剂量缩宫素)90例,比较2组促宫颈成熟效果、分娩方式、母儿结局。结果 观察组用药后宫颈Bishop评分显著高于对照组,差异有统计学意义(P<0.05);观察组引产至临产时间、总产程明显短于对照组(P<0.05);观察组经阴道分娩率明显高于对照组,差异显著(P<0.05);2组产后出血量、新生儿体重及无明显差别(P>0.05);2组孕妇均未发生产褥感染。结论 Foley尿管小水囊联合小剂量缩宫素用于低宫颈评分足月妊娠产妇,促宫颈成熟效果良好,可提高引产成功率,且简便廉价,值得临床应用。

       

      Abstract: ob<x>jective To investigate the Foley catheter and low-dose of oxytocin induced by low cervical score in labor induction at term. Method W omen with a term , live, singleton fetus in cephalic presentation, Bishop score≤4, not in labor, medically indicated for labor induction from June 2017 to June 2019 in our hospital were randomly divided into observation group(n=90) and control group (n=90). In observation group, a 16-F Foley catheter was inserted into patient’s cervical canal and pass internal os, then the balloon was inflated with 80ml saline; at the same time intravenous low-dose oxytocin was initiated. In control group , patient only got intravenous low-dose oxytocin. 2or t test were used to compare the cervical ripening , delivery mode and outcome between the two groups. Result Observation group had a higher improvement of Bishop score, higher rate of vaginal delivery and shorter duration of labor than control group. There were no significant differences in neonatal birth weight and volume of postpartum hemorrhage between the two groups. Puerperal infection occurred in neither group. Conclusion The Foley catheter combined with low-dose of oxytocin i s simple and convenient, more effective for cervical ripening, with higher rate of vaginal delivery. It is recommended that Foley catheter combined with low-dose of oxytocin can be applied to labor induction in term pregnancy with low cervical score.

       

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