论文部分内容阅读
目的:对比性研究224例直肠阴道细菌培养B族链球菌阴性,宫颈Bishop评分≤4分的足月胎膜早破患者采用不同计划分娩方法结局进行评估。方法:回顾性分析224例足月、单胎、胎膜早破、直肠阴道细菌培养B族链球菌阴性,宫颈Bishop评分≤4分的孕妇,随机分为两组,一组124例应用地诺前列酮(欣普贝生)阴道栓剂处理,另一组(对照组)100例期待12 h无产程发动患者行缩宫素计划分娩,资料采用t检验、U检验及χ2检验分析。结果:124例地诺前列酮阴道栓剂处理组宫颈扩张时间及分娩时间均明显短于对照组,差异有统计学意义(P<0.05),剖宫产率8.87%明显低于对照组17.00%,差异有统计学意义(P<0.05)。两组胎儿Apgar评分及脐血PH值比较差别无统计学意义。结论:地诺前列酮阴道栓剂是一种既安全又有效的积极处理方法。
OBJECTIVE: To compare the outcomes of 224 different scheduled delivery methods in 224 patients with genital tract B streptococcal rectally negative vaginal discharge and patients with full-term premature rupture of membranes treated with a cervical Bishop score ≤ 4 points. Methods: A total of 224 pregnant women with full-term, singleton, premature rupture of membranes, negative bacteria of genus B streptococci, cervical Bishop score≤4 were retrospectively analyzed. A total of 124 pregnant women 100 cases of the other group (control group) were enrolled in the planned delivery of oxytocin for 12 h patients without prokinetic mobilization. The data were analyzed by t test, U test and χ 2 test. Results: The dilation time and delivery time of 124 patients treated with droperidol vaginal suppository were significantly shorter than those of the control group (P <0.05). The rate of cesarean section was 8.87%, significantly lower than that of the control group (17.00%), The difference was statistically significant (P <0.05). There was no significant difference between the two groups in fetal Apgar score and umbilical cord blood PH value. Conclusion: Dinoprostone vaginal suppository is a safe and effective active treatment.