作　　者： (王叶平）; (陶洁静）; (陈海迎）; (周庆调）; (陈凌翔）; (张红萍）;

机构地区： 浙江省温州市人民医院,325000

出　　处： 《浙江临床医学》 2017年第10期1890-1892,共3页

摘　　要： 目的观察分娩镇痛仪联合子宫颈扩张球囊在足月妊娠羊水偏少产妇引产临床效果和安全性。方法选取2013年1月-2016年12月就诊120例4足月妊娠羊水偏少产妇，按照随机数字表均分为观察组和对照组。观察组予分娩镇痛仪联合子宫颈扩张球囊引产，对照组予地诺前列酮联合拉玛泽呼吸减痛法引产。观察比较两组宫颈成熟度、产程时间、分娩方式、分娩疼痛和焦虑情况、产妇体内β-内啡肽水平、产后出血量、母婴结局、分娩并发症和不良反应等。结果观察组自然分娩率和宫颈成熟度高于对照组，分娩焦虑和疼痛VAS评分低于对照组，β-内啡肽水平、产后出血量、产程时间和并发症少于对照组，差异有统计学意义（P〈0．05）。结论足月妊娠羊水偏少产妇引产过程中予分娩镇痛仪联合子宫颈扩张球囊能够促进宫颈成熟度、降低体内β-内啡肽水平、减轻分娩焦虑和疼痛、缩短产程时间、减少产后出血量和母婴并发症发生率、提高分娩质量和顺产率，具有较好的临床疗效和安全性。 Objective To observe the clinical effect and safety of combing analgesic apparatus with cervical dilatation balloon in full-term pregnancy with less amniotic fluid induced labor. Methods From January 2013 to December 2016, 120 full-term pregnancy with less amniotic fluid patients were randomly divided into two groups according to the random number table.The research group were used analgesic apparatus with cervical dilatation balloon in the vagina.The control group were used dinoprostone suppositories and Lamaze breathing pain relief delivery method.The cervical ripeness, the labor time, mode of delivery , labor pain and anxiety, beta endorphin level, postpartum hemorrhage volume, the influence ofmaternal and infant, the adverse reactions, which were compared between the two groups. Results The cervical ripening scores and the rate of natural delivery in the research group were significantly higher than those in the control group （/9〈0.05 ） .The labor pain and anxiety score, beta endorphin level, postpartum hemorrhage volume, the labor time, the adverse reactions in the research group were significantly lower than those in the control group （ P〈0.05 ） . Conclusion Combing analgesic apparatus with cervical dilatation balloon in full-term pregnancy with less amniotic fluid induced labor can effectively promote cervical ripening, decrease the beta endorphin level, reduce the labor pain and anxiety score, shorten labor time, reduce postpartum blood loss and complication rates, and improve the quality of labor. It has good clinical effect and safety.

关 键 词： 子宫颈扩张球囊 地诺前列酮 分娩镇痛仪 足月妊娠 羊水偏少 拉玛泽呼吸减痛法