[1]雷 燕,何 婷.妊娠延期应用控释地诺前列酮阴道栓与Foley导尿管的引产效果[J].陕西医学杂志,2019,(4):492-494.
　LEI Yan,HE Ting..Induction effect of controlled release dinoprostone vaginal suppository and foley catheter during pregnancy extension[J].,2019,(4):492-494.
点击复制

妊娠延期应用控释地诺前列酮阴道栓与Foley导尿管的引产效果
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年4期
页码:
492-494
栏目:
临床研究
出版日期:
2019-04-05

文章信息/Info

Title:
Induction effect of controlled release dinoprostone vaginal suppository and foley catheter during pregnancy extension
文章编号:
DOI: 10.3969/j.issn.10007377.2019.04.024
作者:
雷 燕; 何 婷
陕西省渭南市妇幼保健院产科 （渭南714000）
Author(s):
LEI Yan ; HE Ting.
Department of Obstetrics，Maternal and Child Health Care Hospital of Weinan City (Weinan 714000)
关键词:
妊娠延期; 控释地诺前列酮阴道栓; Foley导尿管; 引产; 效果; 对比研究
Keywords:
Key words Prolonged pregnancy;  Controlledreleased dinoprostone vaginal suppository;  Double lumen balloon catheter;  Induction of labor; Effect; Comparative study
分类号:
R114.2
文献标志码:
A
摘要:
摘 要 目的：分析妊娠延期应用控释地诺前列酮阴道栓与Foley导尿管的引产效果。方法：选择收治的妊娠延期患者100例，随机分为两组，对照组患者采用控释地诺前列酮阴道栓促宫颈成熟，观察组患者先应用Foley导尿管加促宫颈成熟后，再加人工破膜，加引产，对比两组临床疗效、Bishop宫颈成熟度评分、引产结局。结果：对照组治疗无效率为2%，有效率为96%，优于观察组的30%、80%，两组有效率差异有统计学意义(P＜0.05)；相较于对照组，观察组总产程、用药到临产时间更短，24 h临产率更高（P＜0.05）；相对于用药前，两组患者用药12 h后、24 h后、48 h后的Bishop宫颈成熟度评分均有所提高，且观察组优于对照组(P＜0.05)。结论：相对于控释地诺前列酮阴道栓，妊娠延期应用Foley导尿管促宫颈成熟效果更加显著。
Abstract:
Abstract Objective: To analyze the induction of labor by controlledrelease dinoprostone vaginal suppository and foley catheter in pregnancy. Methods:100 cases of patients with postponement of pregnancy were randomly divided into two groups. Patients in the control group received controlled release dinoprostone vaginal suppository to promote cervical ripening. Patients in the observation group application of foley catheter plus cervical maturation, coupled with artificial rupture of membranes, plus induced labor, compared the clinical efficacy of two groups, Bishop cervical maturity score, induction of labor. Results: In the control group, the ineffective rate was 2% and the effective rate was 96%, which was better than that of the observation group (30%, 80%). There was significant difference between the two groups (P<0.05) Compared with the pretreatment, the scores of Bishop's cervical maturity after 24 h, 48h after treatment were significantly increased in both groups after 12 hours of treatment, The observation group was better than the control group (P<0.05). Conclusion: Compared with controlled release dinoprostone vaginal suppository, pregnancy induced delayed urinary catheter foley promote cervical maturation effect is more significant.

参考文献/References:

[1] 许雅娟,翟闪闪,杨培峰,等.米非司酮胶囊联合地诺前列酮栓用于未足月引产的临床研究[J].中国计划生育学杂志,2014,22(7):465-467.
[2] 罗 霞,陈春来,周 静，等.缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较[J].中国生化药物杂志,2016,36(4):71-73.
[3] 应美霞.控释地诺前列酮栓用于足月妊娠促宫颈成熟引产38例[J].中国药业,2012,21(23):51-52.
[4] 陈 琼,王亚宁,游艳琴，等.Cook子宫颈扩张球囊与地诺前列酮对晚期妊娠促宫颈成熟效果的对比分析[J].西部医学,2015,27(3):435-437.
[5] 李丰玲,姜 锋.Cook子宫颈扩张球囊与地诺前列酮促宫颈成熟效果的对比[J].西南国防医药,2016,26(10):1150-1152.
[6] 林秀芝.COOK宫颈双球囊与地诺前列酮栓用于足月妊娠引产效果比较[J].中国乡村医药,2016,23(14):35-36.
[7] 李欠娇,郭金强.米索前列醇、COOK双球囊及催产素在晚期妊娠引产的临床效果比较[J].湖北科技学院学报（医学版）,2017,31(2):115-117.
[8] 黄丽杏.控释地诺前列酮栓与缩宫素用于足月妊娠引产的临床观察[J].广西医科大学学报,2012,29(3):446-448.
[9] 汪文雁,郑剑兰,付景丽，等.足月妊娠羊水过少患者不同分娩方式的观察[J].安徽医科大学学报,2013,48(8):985-987.
[10] 曾艳花,吴雪琴,邬春霞，等.经阴道不同小剂量米索前列醇在孕晚期引产中的作用比较[J].中国妇幼健康研究,2016,27(10):1245-1247,1277.
[11] 李晓红,胡丽文,朱苹苹，等.宫颈扩张球囊及控释地诺前列酮栓用于促宫颈成熟及引产的对比研究[J].中国妇幼健康研究,2016,27(5):623-625.
[12] 李 黎,宁萃秀,王琼英，等.小剂量米索前列醇替代利凡诺终止中晚期妊娠的疗效观察[J].西南军医,2015,17(6):669-671.
[13] 范勤颖,李 灿,杜胜巧，等.地诺前列酮栓与米索前列醇用于足月妊娠引产效果比较[J].中国药业,2015,24(24):145-146.
[14] 董玉珍,万 蓉,吴利荣，等.控释地诺前列酮阴道栓治疗妊娠延期的临床研究[J].中国临床药理学杂志,2016,32(23):2138-2140.

更新日期/Last Update: 2019-04-10