延期妊娠孕妇引产应用控释地诺前列酮栓的护理

NURSING OF THE INDUCTION OF PROLONGED PROLONGED PREGNANCY THROUGH APPLYING CONTROLLED RELEASE DINOPROSTONE SUPPOSITORY

目的探讨延期妊娠孕妇应用控释地诺前列酮栓促宫颈成熟引产的效果观察和护理方法。方法选取延期妊娠孕妇68例,随机分作两组:观察组(控释地诺前列酮栓引产)和对照组(传统方法缩宫素引产)各34例。观察两个分组中产妇用药后的宫颈Bishop评分、自然分娩率、剖宫产率、新生儿Apgar评分。结果观察组的引产总有效率、用药24h候宫颈评分、临产时间与对照组存在统计学差异(P<0.05),观察组阴道分娩率高于对照组(P<0.05)。结论控释地诺前列酮栓用于延期妊娠孕妇引产,能促进产妇宫颈成熟、软化,提高宫颈评分,引产手术更加安全可靠。

Objective:To explore the effect of applying dinoprostone suppository in the induction of prolonged pregnancy to promote cervical ripening and the related nursing methods.Methods:68 pregnant women with prolonged pregnancy were selected,and randomly divided into observation group(controlled release dinoprostone suppository induction,34 cases)and control group(traditional oxytocin induction,34 cases).The cervical bishop score,spontaneous delivery rate,cesarean section rate,neonatal Apgar score and delivery complications of the two groups of pregnant women after medication were observed.Results:The total effective rate of labor induction,cervical score at 24 hours,and labor time in the observation group were significantly different(P<0.05)from the control group.The vaginal delivery rate in the observation group was higher(P<0.05)than that in the control group.Conclusion:Applying controlled release dinoprostone suppositories in the induction of prolonged pregnancy can promote the cervical maturation and its softening,improve the cervical score,and make the operation of the labor more safe and reliable.