文章摘要

妊娠晚期应用普贝生联合缩宫素引产对妊娠结局的影响

作者: 1高文凯, 1王凤梅, 1张虹
1 民航总医院妇产科,北京 100123
通讯: 高文凯 Email: arder123@126.com
DOI: 10.3978/j.issn.2095-6959.2021.02.004

摘要

目的:研究妊娠晚期应用普贝生联合缩宫素引产对妊娠结局的影响。方法:选择民航总医院产科2018年7月至2019年6月妊娠晚期有引产指征的329例产妇作为研究对象,采用隐匿数字随机法分为两组,对照组165例给予缩宫素,观察组164例加用普贝生,记录两组产妇促宫颈成熟效果、用药至引产时间、总产程;比较两组产妇用药至分娩时间、产程、分娩方式及分娩结局。结果:观察组用药开始至临产时间短于对照组,差异有统计学意义(P<0.05)。观察组第一产程、第二产程、总产程均短于对照组,差异有统计学意义(P<0.05)。观察组中转剖宫产率为17.07%,明显低于对照组的32.73%,差异有统计学意义(P<0.05)。观察组胎儿窘迫率、新生儿总不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05)。两组宫颈裂伤、阴道裂伤、子宫收缩不良、羊水过少或过多、胎膜早破、新生儿窒息、巨大儿发生率、总不良反应发生率差异均无统计学意义(P>0.05)。结论:妊娠晚期应用普贝生联合缩宫素引产更符合自然产程的生理变化,可改善妊娠结局。
关键词: 普贝生;缩宫素;足月妊娠;妊娠结局;影响

Effect of the Propess combined with oxytocin on pregnancy outcome in late pregnancy

Authors: 1GAO Wenkai, 1WANG Fengmei, 1ZHANG Hong
1 Department of Obstetrics and Gynecology, Civil Aviation General Hospital, Beijing 100123, China

CorrespondingAuthor: GAO Wenkai Email: arder123@126.com

DOI: 10.3978/j.issn.2095-6959.2021.02.004

Abstract

Objective: To study the effect of the Propess combined with oxytocin on pregnancy outcome in late pregnancy. Methods: A total of 329 cases of pregnant women with indications of induced labor in the third trimester of pregnancy from July 2018 to June 2019 in our hospital were selected and randomly divided into two groups. 165 cases in the control group were given oxytocin, and 164 cases in the observation group were treated additionally with Propess. The effect of promoting cervical ripening, the time from medication to induced labor and the total labor process were recorded; the time from medication to labor, and the stages, methods and outcomes of labor between the two groups were compared. Results: The time from the onset of medication to labor in the observation group was shorter than that in the control group, and the difference was statistically significant (P<0.05). The first stage of labor, the second stage of labor and the total stage of labor in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The conversion rate of cesarean section in the observation group was 17.07%, which was significantly lower than 32.73% of the control group (P<0.05). The fetal distress rate and the incidence of neonatal adverse pregnancy outcomes in the observation group were lower than those in the control group (P<0.05). There was no significant difference in the incidence of cervical laceration, vaginal laceration, uterine contraction, oligohydramnios, premature rupture of membranes, neonatal asphyxia, macrosomia and total adverse reactions between the two groups (P>0.05). Conclusion: The application of Propess combined with oxytocin in late pregnancy is more in line with the physiological changes of natural labor process, and can improve the pregnancy outcome.
Keywords: Propess; oxytocin; full-term pregnancy; pregnancy outcome; influence

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