当前位置:首页 / 不同缩宫素持续使用时间在羊水偏少初产妇引产中的临床效果
论著·临床研究 | 更新时间:2025-05-13
|
不同缩宫素持续使用时间在羊水偏少初产妇引产中的临床效果
Clinical effect of different continuous usage time of oxytocin in the induced labor of primipara with oligoamnios

广西医学 页码:371-375

作者机构:吴金婷,硕士,主治医师,研究方向为产科。

基金信息:国家自然科学基金(82202063);南通市卫生健康委员会科研课题(MSZ2023054);南通市基础科学研究和社会民生科技计划项目(MSZ2022123)

DOI:10.11675/j.issn.0253⁃4304.2025.03.07

  • 中文简介
  • 英文简介
  • 参考文献

目的 探讨不同缩宫素持续使用时间在羊水偏少初产妇引产中的临床效果。方法 选取200例足月妊娠拟接受计划分娩的羊水偏少初产妇作为研究对象,在使用宫颈球囊的基础上,根据缩宫素持续使用时间分为A组(持续使用缩宫素)和B组(进入活跃期后停用缩宫素),每组100例。比较两组促宫颈成熟的效果、分娩方式、产程时间、新生儿出生后1 min Apgar评分和母婴并发症发生情况。结果 B组产妇第二产程和总产程时间长于A组,产后出血、宫缩过频的发生率低于A组(P<0.05)。两组产妇的促宫颈成熟有效率、Bishop评分、第一产程、分娩方式、新生儿出生后1 min Apgar评分,以及产褥感染、产道裂伤、胎儿窘迫和新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论 对于足月羊水偏少初产妇的引产,宫颈球囊联合缩宫素的使用策略可以灵活调整,在进入产程活跃期后,适时停用缩宫素不仅不会对引产效果和宫颈成熟度产生显著影响,反而有助于降低产妇产后出血和宫缩过频等并发症的发生率,促进自然分娩,保障母婴安全。

Objective To explore the clinical effect of different continuous usage time of oxytocin in the induced labor of primipara with oligoamnios. Methods A total of 200 full⁃term pregnancy primipara with oligoamnios receiving a planned delivery were selected as the research subjects, based on the adoption of cervical balloon, they were assigned to group A (using oxytocin continuously) or group B (stop of using oxytocin after entering the active phase) according to continuous usage time of oxytocin, with 100 cases in each group. Effect of promoting cervical ripening, delivery method, stage of labor, neonatal Apgar score after 1 minute of birth, and the occurrence of maternal and neonatal complications were compared between the two groups. Results The second stage of labor and the total duration of labor in group B were longer than those in group A, and the incidence rates of postpartum hemorrhage and uterine over⁃contraction were lower than those in group A (P<0.05). There was no statistically significant difference in the effective rate of promoting cervical ripening, Bishop score, the first stage of labor, delivery mode, neonatal Apgar score after 1 minute of birth, and the incidence rates of puerperal infection, birth canal lacunae, fetal distress and neonatal asphyxia between the two groups (P>0.05). Conclusion For the induced labor in full⁃term primipara with oligoamnios, the used strategy of cervical balloon combined with oxytocin can be adjusted flexible. When entering the active stage of labor, stopping oxytocin at the right time will not have a significant effect on the effect of induced labor and cervical maturity, but will help to decrease the incidence rates of postpartum hemorrhage and uterine over⁃contraction and other complications, promote natural childbirth, and ensure safety of mother and child.

63

浏览量

7

下载量

0

CSCD

工具集