乳头刺激在孕晚期促宫颈成熟中的应用效果研究
|
摘要
目的探讨乳头刺激在孕晚期促宫颈成熟中的应用效果。方法 120例产妇,随机分为观察组与对照组,每组60例。观察组给予乳头刺激联合宫颈扩张球囊治疗,对照组仅给予宫颈扩张球囊治疗。对比2组宫颈成熟度、产程进展、引产情况以及不良反应发生情况。结果观察组宫颈成熟优良率较对照组显著更高(P<0.05)。观察组第一产程时间、第二产程时间、总产程时间较对照组来说均更低(P<0.05)。观察组首次引产成功率、阴道分娩率较对照组更高,且观察组剖宫产率较对照组来说显著更低(P<0.05)。观察组总不良反应发生率较对照组低,差异有统计学意义(P<0.05)。结论针对孕晚期产妇进行宫颈扩张球囊治疗时可加以乳头刺激,能够有效促宫颈成熟,缩短产妇产程,对于促进产妇自然分娩和改善预后来说意义重大,临床实用价值较高。
Objective To explore the effects of nipple stimulation in promoting cervical ripening in late-gestation.Methods A total of 120 parturients who hospitalized in our hospital from January 2018 to July 2018 were randomly divided into observation group(n=60) and control group(n=60). The parturients in observation group were treated by nipple stimulation combined with cervical dilatation balloon,however,the parturients in control group were treated by cervical dilatation balloon only. The cervical ripeness, labor progress, induced labor status and adverse reactions were observed and compared between the two groups.Results The good and excellent rate of cervical ripeness in observation group was significantly higher than that in control group(P<0.05). The duration of the first stage of labor, the duration of second stage of labor and the duration of total stage of labor in observation group were significantly shorter than those in control group(P<0.05).Moreover the success rate of the first induced labor and vaginal delivery rate in observation group were significantly higher than those in control group, and the cesarean section rate in observation group was significantly lower than that in control group(P<0.05). In addition the incidence rate of total adverse reactions in observation group was significantly lower than that in control group(P<0.05).Conclusion The nipple stimulation combined with cervical dilatation balloonfor the parturients in late-gestation can effectively promote cervical maturation and shorten the delivery process,which is quite significant for promoting natural delivery and improve the prognosis of pregnant women, and has high clinical practical value.
Objective To explore the effects of nipple stimulation in promoting cervical ripening in late-gestation.Methods A total of 120 parturients who hospitalized in our hospital from January 2018 to July 2018 were randomly divided into observation group(n=60) and control group(n=60). The parturients in observation group were treated by nipple stimulation combined with cervical dilatation balloon,however,the parturients in control group were treated by cervical dilatation balloon only. The cervical ripeness, labor progress, induced labor status and adverse reactions were observed and compared between the two groups.Results The good and excellent rate of cervical ripeness in observation group was significantly higher than that in control group(P<0.05). The duration of the first stage of labor, the duration of second stage of labor and the duration of total stage of labor in observation group were significantly shorter than those in control group(P<0.05).Moreover the success rate of the first induced labor and vaginal delivery rate in observation group were significantly higher than those in control group, and the cesarean section rate in observation group was significantly lower than that in control group(P<0.05). In addition the incidence rate of total adverse reactions in observation group was significantly lower than that in control group(P<0.05).Conclusion The nipple stimulation combined with cervical dilatation balloonfor the parturients in late-gestation can effectively promote cervical maturation and shorten the delivery process,which is quite significant for promoting natural delivery and improve the prognosis of pregnant women, and has high clinical practical value.
引文
1 赵立英,严向梅,吴琼仙.妊娠晚期引产前2种促宫颈成熟方法的疗效.昆明医科大学学报,2017,38:121-124.
2 戴夏琳.足月妊娠促宫颈成熟及引产的应用进展.中国妇幼保健,2016,31:5534-5536.
3 Dossett LA,Lowe J,Sun W,et al.Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy:Outcomes After Nipple-Sparing Mastectomy.Journal of Surgical Oncology,2016,114:11-16.
4 章霞.静音型电动吸乳器刺激乳头用于晚期妊娠引产的效果观察.实用临床医药杂志,2016,20:154-156.
5 孙景丽,王青,高绍凤,等.间苯三酚与米索前列醇在宫腔镜术前促宫颈成熟效果比较的Meta分析.中国内镜杂志,2016,22:72-77.
6 Li X,Chen D,Li J,et al.Effects of furnished cage type on behavior and welfare of laying hens.Asian-Australasian Journal of Animal Sciences,2016,29:887-894.
7 向志军.两种促宫颈成熟及引产方法应用于妊娠晚期的临床效果比较研究.医药前沿,2016,6:111-112.
8 鞠红.中晚期引产前应用米非司酮促宫颈成熟的疗效观察.河南医学研究,2016,25:1708-1709.
9 Fantaneanu TA ,Tolchin B ,Alvarez V ,et al.Effect of stimulus type and temperature on EEG reactivity in cardiac arrest.Clinical Neurophysiology,2016,127:3412-3417.
10 张佳惠,刘海燕,赵维红.妊娠晚期引产促宫颈成熟的方法探讨.基层医学论坛,2017,21:1337-1338.
11 张莎莎.妊娠晚期行宫颈扩张球囊促宫颈成熟的效果及对剖宫产率的影响.医学理论与实践,2016,29:3085-3086.
12 赵立英,严向梅,吴琼仙.妊娠晚期引产前2种促宫颈成熟方法的疗效.昆明医科大学学报,2017,38:121-124.
13 Zingler E,Angélica Amorim Amato,Zanatta A,et al.Lactation Induction in a Commissioned Mother by Surrogacy:Effects on Prolactin Levels,Milk Secretion and Mother Satisfaction.Rev Bras Ginecol Obstet,2017,39:86-89.
14 刘燕,陈斌,李智萍,等.米索前列醇联合乳头刺激在妊娠晚期促宫颈成熟中的运用.中国现代医生,2016,54:70-72.
15 祁淑彬.米索前列醇联合乳头刺激促妊娠晚期宫颈成熟的应用效果分析.中国现代医药杂志,2016,18:38-40.
2 戴夏琳.足月妊娠促宫颈成熟及引产的应用进展.中国妇幼保健,2016,31:5534-5536.
3 Dossett LA,Lowe J,Sun W,et al.Prospective evaluation of skin and nipple-areola sensation and patient satisfaction after nipple-sparing mastectomy:Outcomes After Nipple-Sparing Mastectomy.Journal of Surgical Oncology,2016,114:11-16.
4 章霞.静音型电动吸乳器刺激乳头用于晚期妊娠引产的效果观察.实用临床医药杂志,2016,20:154-156.
5 孙景丽,王青,高绍凤,等.间苯三酚与米索前列醇在宫腔镜术前促宫颈成熟效果比较的Meta分析.中国内镜杂志,2016,22:72-77.
6 Li X,Chen D,Li J,et al.Effects of furnished cage type on behavior and welfare of laying hens.Asian-Australasian Journal of Animal Sciences,2016,29:887-894.
7 向志军.两种促宫颈成熟及引产方法应用于妊娠晚期的临床效果比较研究.医药前沿,2016,6:111-112.
8 鞠红.中晚期引产前应用米非司酮促宫颈成熟的疗效观察.河南医学研究,2016,25:1708-1709.
9 Fantaneanu TA ,Tolchin B ,Alvarez V ,et al.Effect of stimulus type and temperature on EEG reactivity in cardiac arrest.Clinical Neurophysiology,2016,127:3412-3417.
10 张佳惠,刘海燕,赵维红.妊娠晚期引产促宫颈成熟的方法探讨.基层医学论坛,2017,21:1337-1338.
11 张莎莎.妊娠晚期行宫颈扩张球囊促宫颈成熟的效果及对剖宫产率的影响.医学理论与实践,2016,29:3085-3086.
12 赵立英,严向梅,吴琼仙.妊娠晚期引产前2种促宫颈成熟方法的疗效.昆明医科大学学报,2017,38:121-124.
13 Zingler E,Angélica Amorim Amato,Zanatta A,et al.Lactation Induction in a Commissioned Mother by Surrogacy:Effects on Prolactin Levels,Milk Secretion and Mother Satisfaction.Rev Bras Ginecol Obstet,2017,39:86-89.
14 刘燕,陈斌,李智萍,等.米索前列醇联合乳头刺激在妊娠晚期促宫颈成熟中的运用.中国现代医生,2016,54:70-72.
15 祁淑彬.米索前列醇联合乳头刺激促妊娠晚期宫颈成熟的应用效果分析.中国现代医药杂志,2016,18:38-40.