宫气球导管与Dilapan-S用于门诊宫成熟:一个随机对照试验
Rachel L Wood1, Clarissa Bluemm2, Sarah C Lassey3
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA (Wood, Bluemm, Lassey, and Little); Division of Maternal-Fetal Medicine, Duke University, Department of Obstetrics and Gynecology, Durham, NC (Wood).
American journal of obstetrics & gynecology MFM
|January 16, 2025
概括
在门诊子宫成熟方面,Dilapan-S与宫气球导管同样有效,在Bishop分数变化方面表现不劣. 患者报告了更高的满意度,并且经历了较少的宫成熟失败与Dilapan-S.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
- 临床试验 临床试验
背景情况:
- 劳动诱导率的增加需要安全有效的门诊子宫成熟方法.
- 最佳的门诊机械宫成熟技术仍然没有确定.
研究的目的:
- 为了评估Dilapan-S是否与宫气球相比不劣,用于门诊宫成熟.
- 主要结局指标是Bishop分数的变化.
主要方法:
- 一个单盲随机对照试验将Dilapan-S液晶扩展器与一个单气球宫成熟导管进行了比较.
- 符合条件的参与者是接受门诊子宫成熟的终期患者.
- 主要结局是Bishop分数的变化;次要结局包括满意度和失败率.
主要成果:
- 在Dilapan-S和宫气球 (P=.91) 之间,毕晓普得分变化没有显著差异.
- 德布兰-S组报告了更高的患者满意度 (P<.01).
- 宫成熟失败是显著低于用Dilapan-S (17.5%对45.0%,P<.01).
结论:
- 在门诊子宫成熟方面,Dilapan-S与宫气球导管无差.
- 德拉班-S提供了改善的患者满意度和降低宫成熟失败率.
- 这些发现支持Dilapan-S作为门诊子宫成熟的有利选择.
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