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目的:探讨足月妊娠孕妇采用双球囊导管促宫颈成熟的临床效果及其对母婴结局的影响。方法:将本院住院分娩的初产妇494例分为三组,以双球囊导管和控释地诺前列酮栓联合使用促宫颈成熟的产妇91例设为观察1组,以单纯控释地诺前列酮栓促宫颈成熟的产妇89例设为观察2组,以自然临产且阴道分娩的产妇314例设为对照组。比较三组的临床疗效。结果:观察1组促宫颈成熟总有效率为94.5%,显著高于观察2组65.2%,差异有统计学意义(P<0.05);观察1组阴道分娩率明显高于观察2组(P<0.05);三组总产程对比,观察1组最短、对照组最长(P<0.05);球囊和/或栓剂取出后,观察1组宫颈Bishop评分明显优于观察2组(P<0.05)。结论:双球囊导管应用于足月妊娠促宫颈成熟效果显著,可有效促宫颈成熟、缩短产程,且安全性较高,值得临床推广应用。
Objective: To investigate the clinical effect of double balloon catheter on gestational maturity in term pregnant women and its effect on maternal and infant outcome. Methods: 494 cases of primipara in hospital delivery were divided into three groups, with double balloon catheter and controlled release dinoprostone suppository to promote cervical ripening 91 cases of pregnant women were set to observe a group of controlled release Nostlitazone suppository of cervical mature maternal 89 cases were set to observe the 2 groups, 314 cases of spontaneous labor and vaginal delivery of mothers as a control group. Compare the clinical efficacy of three groups. Results: The total effective rate of cervical ripening in group 1 was 94.5%, which was significantly higher than 65.2% in group 2 (P <0.05). The vaginal delivery rate in group 1 was significantly higher than that in observation group 2 (P < (P <0.05). After the balloon and / or suppository were removed, the Bishop score of group 1 was significantly better than that of group 2 (P <0.05) . Conclusion: Double balloon catheter applied to full-term pregnancy and cervical ripening effect is significant, can effectively promote cervical maturation, shorten the labor process, and high safety, worthy of clinical application.