ABSTRACT
Objective To explore the clinical effect of disposable cervical dilator balloon and dinoprostone suppository on promoting cervical ripening in full-term pregnancy.Methods 92 cases of primipara with labor indications were selected as the research subjects.According to the random number table method,the patients were randomly divided into two groups,46 cases in each group.The observation group of cervical ripening used disposable cervical dilator balloon,the control group used dinoprostone suppository .The cervical Bishop score and cervical ripening effect ,delivery conditions,and the incidence of adverse reactions were compared between the two groups .The full-term pregnancy cervical ripening in disposable balloon dilator ,the application effect of dinoprostone suppository was evaluated .Results The cervical Bishop score after induction of the observation group was (8.92 ±0.17) points,which was higher than (6.11 ±0.38) points of the control group,the difference was statistically significant (t=45.781,P<0.05).The ineffective rate of cervical ripening in the observation group was 4.35％,which was lower than 26.09％in the control group(χ2 =16.133,P<0.05).The induced to regular uterine contraction time ,the total labor range of the observation group were (6.31 ±1.52)h,(6.35 ±1.59)h,respectively,which were shorter than those of the control group[(11.68 ± 2.24)h,(7.56 ±2.68)h],the differences were statistically significant (t=13.454,2.634,all P<0.05).The vaginal delivery rate of the observation group was 82.61％,which was higher than 63.04％of the control group(χ2 =4.056, P<0.05).The cesarean section rate of the observation group was 17.39％,which was lower than 36.96％ of the control group(χ2 =7.407,P<0.05).The neonatal birth weight,neonatal asphyxia,neonatal Apgar score between the two groups had no statistically significant differences(all P>0.05).The incidence rate of adverse reactions in the observation group was 8.70％,which was lower than 28.26％in the control group(χ2 =9.757,P<0.05).Conclusion Dispos-able balloon cervical dilator used in term pregnancy cervical ripening has significant effect , can improve cervical ripening rate,shorten delivery time and labor ,with less adverse reaction ,high safety,it is worthy of reference .
ABSTRACT
Objective To explore the timing of surgical operation and surgical incision for the treatment of head of electrical injury and scarred alopecia with soft tissue expander .Methods Twenty-three patients with high tension electrical injury and scarred alopecia were collected ,the soft tissue expander was used to repair the wound and scar area.Selected the expander to embed the incision:patients with scarred alopecia were selected to be near the hair area in the scar;high tension electrical injury in patients with incision location selection based on the time of injury and wound repair requirements vary;within 5 days after injury ,surgery incision can be selected from the wound about 2-3cm;more than 5 days after injury,the patients chose to stay away from the wound incision ,incision about 4-5cm. Results Of 23 patients,postoperative scalp expansion flap good blood supply ,a period to solve the high tension electrical injury caused by skull necrosis and scarred alopecia problems .The patients according to the wound debride-ment and repair requirements using different surgical incision for dilator implantation ,wound and flap infection ,dilated flap poor blood supply ,necrosis,dilator exposed and other issues did not occur after surgery .Conclusion Flexible use of expander embedded surgical incision can be more effectively adapted to the wound repair requirements ,timely reduction of implantation expander surgery when the difficulty of stripping ,shorten the operation time,the maximum possible protection of healthy scalp tissue ,and eventually get a satisfactory clinical cosmetic repair effect .