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    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

    Analysis of Foley catheter balloon and low-dose oxytocin for induction of labour in term pregnancy with low cervical score

    • 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—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、母婴结局。结果 观察组用药后宫颈Bishop评分、经阴道分娩率高于对照组,引产至临产时间、总产程短于对照组,差异均有统计学意义(P<0.05);2组产后出血量、新生儿体重差异无统计学意义(P>0.05);2组均未发生产褥感染。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引产,促宫颈成熟效果良好,可提高引产成功率,且简便廉价,值得临床推广应用。

       

      Abstract: Objective To investigate the effect of Foley catheter balloon combined with low-dose oxytocin intravenous infusion on cervical ripening in induction of labour of term pregnancy with low cervical score. Methods A total of 180 primiparous women with a term pregnancy, singleton fetus in cephalic presentation, Bishop score≤4, without contraindications of induced labour from June 2017 to June 2019 in the Affiliated Hospital of Xuzhou Medical University were randomly divided into an observation group and a control group(n=90 each). In the observation group, a 16-F Foley catheter was inserted into patient's cervical canal, then the balloon was inflated with 80 ml saline; at the same time intravenous infusion of low-dose oxytocin was initiated. In the control group, patients only received intravenous infusion of low-dose oxytocin. The cervical ripening, delivery mode and outcome between the two groups were compared. Results The observation group had a higher improvement of Bishop score, higher rate of vaginal delivery, shorter induction time and shorter duration of labour than the control group (P<0.05). There were no significant differences in neonatal birth weight and volume of postpartum hemorrhage between the two groups (P>0.05). Puerperal infection occurred in neither group. Conclusions The Foley catheter balloon combined with low-dose oxytocin is simple, convenient, inexpensive, and is more effective for cervical ripening, with higher rate of vaginal delivery. It is recommended for induction of labour in term pregnancy with low cervical score.

       

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