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张力, 刘兴会, 卫蔷, 等. 双球囊导管在足月妊娠促宫颈成熟和引产中的应用[J]. koko体育app 学报（医学版）, 2013, 44(3): 497-501.
引用本文: 弹性, 刘兴会, 卫蔷, 等. 双球囊连接管在足月早孕促宫颈的完善和引产中的用途[J]. 广东专科大学学报（医学研究版）, 2013, 44(3): 497-501.
ZHANG Li, LIU Xing-hui, WEI Qiang, et al. Efficacy of Double-balloon Catheter for Cervical Ripening and Labor Induction[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(3): 497-501.
Citation: ZHANG Li, LIU Xing-hui, WEI Qiang, et al. Efficacy of Double-balloon Catheter for Cervical Ripening and Labor Induction[J]. Journal of Sichuan University (Medical Sciences), 2013, 44(3): 497-501.

双球囊导管在足月妊娠促宫颈成熟和引产中的应用

Efficacy of Double-balloon Catheter for Cervical Ripening and Labor Induction

  • 摘要: 目的 探讨双球囊导管用于足月单胎孕妇促宫颈成熟和引产的应用指征、安全性、有效性及应用技巧。 方法 搜集koko体育app 华西第二医院2011年5月至2012年10月586例应用双球囊导管孕妇的临床资料,按照放置球囊前的宫颈Bishop评分分为试验1组(Bishop评分 ≤ 3分,155例)、试验2组(Bishop评分4~5分,223例)和试验3组(Bishop评分 ≥ 6分,208例),并与同期宫颈Bishop评分 ≥ 6分而直接应用缩宫素静滴引产的112例孕妇(对照组)进行比较。 结果 ①试验1、2、3组双球囊导管促宫颈成熟有效率、阴道分娩率逐渐递增,缩宫素使用率和使用时间逐渐递减,差异均有统计学意义。②与对照组相比,试验3组阴道分娩率明显增加、总产程明显缩短,差异均有统计学意义;两组母婴并发症的比较差异无统计学意义。 结论 双球囊导管促宫颈成熟与引产的效果与宫颈Bishop评分密切相关,适合于宫颈Bishop评分较高孕妇的促宫颈成熟和计划分娩。  
    Abstract: Objecitve To study the indication, efficacy, and safety of double-balloon catheter for cervical ripening and labor induction in term pregnant women. Methods A total of 586 pregnant women using double-balloon catheters from May 2011 to October 2012 were divided into three groups according to their initial Bishop scores:group 1 (Bishop score ≤ 3, n=155), group 2 (Bishop score 4-5, n=223) and group 3 (Bishop score ≥ 6, n=208). The control group (Bishop score ≥ 6, n=112) were directly given low-dose of oxytocin through continuous intravenous infusion for labor induction. Results ① The effective rate of cervical ripening and the success rate of vaginal delivery in group 1, 2 and 3 were gradually increased, with significantly differences among the three groups. The rate and the duration of oxytocin infusion were gradually decreased in group 1, 2 and 3, also with significantly differences. ② The success rate of vaginal delivery in group 3 was significantly higher than that in control group. The average total labor stage of group 3 was significantly shorter than that of control group. The complications of mothers and fetus showed no significant difference between the two groups. Conclusion The efficacy of double-balloon catheter for cervical ripening and labor induction was closely associated with the Bishop score. It is suitable in pregnant women with higher Bishop score.  
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