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目的:分析比较欣普贝生与宫颈扩张双球囊对足月妊娠孕妇产程及新生儿预后的影响。方法:选取2014年6月至2015年6月我院收治的112例足月妊娠初产妇为研究对象,随机分为欣普贝生组56例与宫颈扩张双球囊组56例。记录并比较两组孕妇促宫颈成熟效果、产程时间、妊娠结局及新生儿预后情况。结果:两组孕妇在应用促宫颈成熟措施后欣普贝生组宫颈Bishop评分显著高于双球囊组(t=4.447,P<0.01)。欣普贝生组促宫颈成熟的总有效率为98.2%,显著高于双球囊组的85.7%(χ~2=4.35,P<0.05)。欣普贝生组产妇活跃期与第二产程时间显著短于双球囊组(t=5.630、7.462,P<0.01);而急产人数显著多于双球囊组(χ~2=5.14,P<0.05)。欣普贝生组孕妇出现强直性/过频宫缩例数及产后出血例数均显著多于双球囊组(χ~2=4.73、4.80,P<0.05)。胎儿窘迫例数、新生儿Apgar评分及脐动脉p H值两组间比较差异均无统计学意义(P>0.05)。结论:对于足月妊娠的产妇,欣普贝生促宫颈成熟效果较为明显,但会出现第二产程过短、急产、强直性宫缩及产后出血等不良反应,宫颈扩张双球囊促宫颈成熟效果较为温和安全。
OBJECTIVE: To analyze and compare the effects of Double-balloon and Double-balloon dilatation of cervix on the labor process and prognosis of full-term pregnant women. Methods: From January 2014 to June 2015, 112 cases of primiparae of full-term pregnancy admitted to our hospital were randomly divided into 56 cases of enxapram group and 56 cases of double-balloon dilatation of cervix. Record and compare the two groups of pregnant women promote cervical maturation effect, labor duration, pregnancy outcome and prognosis of newborns. Results: The cervical Bishop scores of both groups were significantly higher than that of the double balloon group (t = 4.447, P <0.01) after the application of cervical ripening. The total effective rate of cervical ripening in Xinpeibei group was 98.2%, which was significantly higher than that in double balloon group (χ ~ 2 = 4.35, P <0.05). The duration of active stage and second stage of labor was significantly shorter in double-balloon group than in double balloon group (t = 5.630, 7.462, P <0.01), while the number of emergency birth was significantly more than that of double balloon group (χ ~ 2 = 5.14, P <0.05). The number of tonic / hypervigilant cases and the number of postpartum hemorrhage in the pregnant group were significantly higher than those in the double balloon group (χ ~ 2 = 4.73, 4.80, P <0.05). Fetal distress cases, neonatal Apgar score and umbilical artery p H values between the two groups showed no significant difference (P> 0.05). Conclusions: For full-term pregnant mothers, shengshibeisheng cervical ripening effect is more obvious, but there will be the second stage of labor is too short, acute birth, tonic contractions and postpartum hemorrhage and other adverse reactions, cervical dilatation double balloon to promote the cervix Mature effect is more gentle and safe.