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目的比较分析宫颈扩张双球囊与地诺前列酮栓对足月妊娠孕妇产程及新生儿预后的影响。方法选取2015年4月到2016年4月收治的112例足月妊娠孕妇,随机分为对照组与实验组各56例,对照组采用宫颈扩张双球囊,实验组为地诺前列酮栓。比较实验组与对照组孕妇产程时间、促宫颈成熟效果、妊娠结局以及新生儿的预后情况。结果实验组的宫颈Bishop评分与促宫颈成熟有效率显著高于对照组,实验组第二产程时间与活跃期时间显著低于对照组,实验组的急产人数与出现强直性/过频宫缩例数及产后出血例数显著多于对照组,且差异具有统计学意义(P>0.05)。结论与宫颈扩张双球囊相比,地诺前列酮栓对足月妊娠孕妇促宫颈成熟的效果较为明显,但会出现产后出血、强直性宫缩、急产、第二产程过短等不良反应,宫颈扩张双球囊促宫颈成熟安全性较高。
Objective To compare the effects of dilated double balloon dilatometer and dronopronadiazide on labor process and prognosis of full-term pregnant women. Methods A total of 112 full-term pregnant women who were treated from April 2015 to April 2016 were randomly divided into control group and experimental group (56 cases each). The control group received double-balloon dilatation of cervix. The experimental group was dinoprostone suppository. Compare the experimental group and control group pregnant women labor time, promote cervical maturation effect, pregnancy outcome and prognosis of newborns. Results The cervical Bishop score and the rate of promoting cervical ripening in experimental group were significantly higher than those in control group. The time of second stage of labor and active period in experimental group were significantly lower than those in control group. The number of acute birth and the incidence of tachycardia / Cases and postpartum hemorrhage cases were significantly more than the control group, and the difference was statistically significant (P> 0.05). Conclusions Compared with cervical dilatation double balloon, dinoprostone suppository has a more obvious effect on promoting cervical ripening in term pregnant women, but there will be adverse reactions such as postpartum hemorrhage, tonic contractions, urgent labor and too short a second stage of labor. , Cervical dilatation double balloon to promote cervical ripening higher safety.