妊娠晚期促宮頸成熟的3種方法比較

1、妊娠晚期促宮頸成熟的妊娠晚期促宮頸成熟的3種方法比較種方法比較栗樹(shù)珺[摘要]目的研究分析在足月妊娠宮頸成熟以及引產(chǎn)過(guò)程中運(yùn)用常用的3種促宮頸成熟方法的效果以及安全性。方法從2017年4—10月期間在該院產(chǎn)科被確診為存在引產(chǎn)指征的單胎、頭位但宮頸不成熟的足月產(chǎn)婦中方便選取96例，根據(jù)治療方式的不同將其隨機(jī)平均分成宮頸擴(kuò)張水囊組32例，縮宮素組32例以及米索前列醇組32例。將3組患者治療后的Bishop分?jǐn)?shù)、臨產(chǎn)消耗時(shí)間、產(chǎn)程時(shí)間、分娩情況

2、以及產(chǎn)后結(jié)局進(jìn)行對(duì)比。結(jié)果在Bishop分?jǐn)?shù)方面，宮頸擴(kuò)張水囊的分?jǐn)?shù)（8.20.8）分顯著比另外兩組要高（5.20.13）分、（6.90.7）分差異有統(tǒng)計(jì)學(xué)意義（P0.05），但兩組均顯著比縮宮素組（11.113.43）h、62.5%要高差異有統(tǒng)計(jì)學(xué)意義（P[關(guān)鍵詞]促宮頸成熟；妊娠晚期；縮宮素；宮頸擴(kuò)張水囊；米索前列醇；效果[中圖分類(lèi)號(hào)]R5[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]16740742（2018）03（a）004203Comparis

3、onofThreeMethodsonPromotingCervicalMatureinLatePregnancyLIShujunDepartmentofGynaecologyObstetrics，KunmingPanlongof（7.252.13）h（6.742.38）hthedifferencewasstatisticallysignificant（P0.05），Intemsoftotallabvaginaldelivery（7.65

4、3.11）h81.25%ofthepatientsinthecervicaldilatationwerenosignificantlydifferenceof（8.112.87）h78.12%inthemisoprostolgroup（P0.05），butbothgroupsweresignificantlyhigherthanthoseintheoxytocingroup（11.113.43）h62.5%thedifferencewa

5、sstatisticallysignificant（P0.05）.Intermsofcontractility，patientsinthemisoprostolgroup（12.50%）weresignificantlyhigher（0.00%）thanthoseintheothertwogroups（3.16%）thedifferencewasstatisticallysignificant（P0.05）.Therewasnosign

6、ificantdifferencebetweenthethreegroupsintermsofpostpartumhemrhageneonatalApgar（9.40.5）points，（9.30.4）points（9.40.4）points.ConclusionCervicaldilatationofthewatersac，misoprostolhaveagoodcervicalmaturationeffect，whichismesa

7、fecervicaldilatationballoon，butthepriceisexpensive，thegeneralpatienthasfeignbodysensation，misoprostoleffectisbetter，inducedlabfastercheaper，easytouse，buttheapplicationrequiresclosemonitingofmaternalfetalconditions.[Keywd