孕晚期不同引产方法的临床应用效果比较

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Abstract Objective To discuss application effects with low small bladders, small dose of Misoprostol after vaginal fornix and small dose of Oxytocin intravenous drip for induced labor of late pregnancy. Methods 180 late pregnant women from April 2014 to January 2016 were selected and randomly divided into 60 patients of them accepted with foley catheter low water bladders for induced labor were taken as water bladders group, 60 patients of them accepted with small dose of Misoprostol after vaginal fornix for induced labor were taken as Misoprostol group, and another 60 patients of them accepted with small dose of Oxytocin intravenous drip for induced labor were taken as Oxytocin group. The effect of cervical ripening and induced labor, delivery outcome and birth state of newborns among three groups were observed. Results Bishop scores in water bladders group and Misoprostol group after interventions were higher than those in Oxytocin group, the differences were statistically significance (P ＜ 0.05). Ttotal effective rate of induced labour in water bladders group and Misoprostol group were higher than those in Oxytocin group, the differences were statistically significant (P ＜ 0.05). Induction of labor to labor time and total labor in water bladders group and Misoprostol group were shorter than those in Oxytocin group, the differences were statistically significant (P ＜ 0.05). Vaginal delivery rates in water bladders group and Misoprostol group were higher than those in Oxytocin group, cesarean section rate in water bladders group and Misoprostol group were lower than those in Oxytocin group, the differences were statistically significant (P ＜ 0.05). The amount of postpartum hemorrhage, newborn′s weight, amniotic fluid contamination and newborn asphyxia rate among three groups were compared, with no statistical difference (P ＞ 0.05). Conclusion Foley catheter low water bladders and small dose of Misoprostol after vaginal fornix apply to induce labor of late pregnancy with effects of cervical ripening that can increase the success rate of induced labor, reduce the cesarean section rate, which are worthy of clinical use.

Key words： Low small bladders Misoprostol Cervical ripening Induced labor

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	XUE Juan WANG Yuelan LI Youjuan WANG Na WANG Lixiu XIA Fengna WANG Junpu

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XUE Juan WANG Yuelan LI Youjuan WANG Na WANG Lixiu XIA Fengna WANG Junpu. Comparison of clinical application effects with different methods of induction of labor in late pregnancy[J]. 中国医药导报, 2017, 14(21): 121-124.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I21/121

[1] 林菊芳.小水囊引产在足月妊娠中的临床价值分析[J].中外医疗，2015，35（23）：78-79.
[2] 陆婕.普贝生与缩宫素用于足月引产的疗效比较[J].实用医学杂志，2010，39（23）：4397-4399.
[3] 陈勇.小剂量米索前列醇用于晚期妊娠引产效果的临床观察[J].中国医药指南，2012，10（35）：107-108.
[4] 郑德燕，徐颖，王榕娟.双球囊与催产素促宫颈成熟的临床效果比较[J].中国妇幼健康研究，2015，26（6）：1237-1238.
[5] Bujold E，Blackwell SC. Modified Bishop's score and induction of labor in patients with a previous cesarean delivery [J]. Am J Obstet Gynecol，2004，191（5）：1644-1648.
[6] Adhikari K，Bagga R，Suri V，et al. Cervical length compared to Bishop's score for prediction of pre-term birth in women with pre-term labour [J]. J Obstet Gynaecol，2011，31（3）：213-216.
[7] 杜彧华.COOK宫颈球囊联合缩宫素促宫颈成熟引产的效果分析[J].中国计划生育和妇产科，2015，7（5）：52-54.
[8] 沈梅，孙波，赵卫华，等.Cook子宫颈扩张球囊与欣普贝生用于足月妊娠引产的临床研究[J].中国妇幼保健，2015， 30（4）：624-627.
[9] 范翠芳，张正娥.COOK双球囊与缩宫素促宫颈成熟并引产的对照研究[J].重庆医学，2012，41（36）：3820-3822.
[10] 李洪瑞，张滨惠，成振江.间苯三酚联合缩宫素在足月妊娠引产中的临床应用[J].临床医学，2012，32（8）：71-72.
[11] 廖静，何明凤.米非司酮联合米索前列醇与米非司酮联合依沙吖啶在瘢痕子宫中期妊娠引产中疗效比较的系统评价[J].国际生殖健康/计划生育杂志，2014，33（3）：243-247.
[12] 谢琰.双球囊与缩宫素在促宫颈成熟及足月延期妊娠引产中的效果分析[J].中国当代医药，2015，22（28）：91-93.
[13] 关秀莹，张源凤，林惠珍.水囊联合缩宫素与单用缩宫素在足月妊娠引产中的效果比较[J].中国当代医药，2016， 23（34）：78-81.
[14] 陆佩华.双球囊导管联合缩宫素对足月妊娠促宫颈成熟及引产的影响[J].中医临床研究，2016，8（24）：92-94.
[15] 杨宝华，郁明霞.米非司酮联合米索前列醇片应用于瘢痕子宫中期妊娠引产的开放性、阳性药物随机对照临床试验[J].中国医药导报，2014，11（2）：91-94.
[16] 杨水艳.小剂量米索前列醇片在晚期妊娠引产中的应用效果[J].中国当代医药，2014，21（24）：88-90.
[17] 毕学汉，王静，俞阳，等.干湿剂型米索前列醇用于妊娠中期引产有效性和安全性的系统评价[J].中国循证医学杂志，2016，16（8）：926-932.
[18] 谢守丽.米索前列醇与催产素在晚期妊娠引产中的应用分析[J].中国医药指南，2013，11（6）：532-533.
[19] 王国华，刘亚琼，石丹.低位水囊与米索前列醇对足月妊娠促宫颈成熟引产效果观察[J].中国现代医生，2015，53（36）：44-46.
[20] 王志梅，王璐.普贝生栓与Foley尿管水囊促宫颈成熟用于足月妊娠引产的前瞻性随机对照研究[J].中国全科医学，2012，15（28）：3264-3267.
[21] 柳怡.子宫颈扩张球囊用于足月妊娠促宫颈成熟和引产的临床评价[J].重庆医学，2013，42（21）：2538-2540.
[22] 刘继文，黄绮涛，盛克雄，等.Foley尿管联合间苯三酚及缩宫素在晚期妊娠促宫颈成熟方面的临床效果[J].中国当代医药，2016，23（16）：110-112.
[23] 杨霄.COOK宫颈扩张球囊促宫颈成熟并引产的有效性、安全性及使用技巧[J].中华妇幼临床医学杂志：电子版，2014，10（3）：30-34.