摘要
目的:比较两种宫颈扩张球囊在足月引产中的有效性和安全性。方法:选取2012年5月至2015年8月我院足月引产孕妇84例,随机分为观察组和对照组,每组42例,对照组采用COOK球囊引产,观察组采用爱婴球囊引产,以宫颈Bishop评分评估促宫颈成熟效果,以新生儿窒息评分法(Apgar)评估新生儿结局,比较2组孕妇促宫颈成熟效果、总产程、放置到分娩时间、宫颈裂伤、妊娠结局和产后出血量。结果:观察组和对照组促宫颈成熟有效率分别为80.95%、59.52%(P<0.05),宫颈裂伤发生率分别为4.76%、9.52%(P>0.05),阴道分娩率分别为88.10%、66.67%(P<0.05),产后出血量分别为(167.38±26.43)m L、(196.67±28.64)m L,总产程分别为(443.46±123.46)min、(497.47±132.14)min,放置到分娩时间分别为(30.27±6.82)h、(38.15±7.43)h(P<0.05),Apgar得分分别为(8.28±2.12)分、(7.13±2.04)分(P<0.05)。结论:爱婴球囊可有效提升孕妇在足月引产中促宫颈成熟效果,提高孕妇阴道分娩率,减少孕妇产后出血,有效性和安全性良好,有利于改善母婴结局,值得临床推广。
Objective： To discuss the efficacy and safety of two cervical dilation balloons for termlabor inductioFrom May 2012 to August 2015,84 pregnant women undergoing term labor induction in our hospital observation group and control group,42 cases in each group. The control group received cervical labor induction while the observation group received Aiying balloon for labor induction. The effect of was accessed by cervical Bishop score,and the neonatal outcomes were accessed by Apgar score. The effect of promoting cervicalripening,total stage of labor,duration between the balloon placement and delivery,cervical laceration,pregnant outcomes andpostpartum blood loss were compared between the two groups. Results： The effective rate of promoting cervical ripening in the observation group was significantly higher than that in the control group （ 80. 95% vs 59. 52%,P 〈 0. 05 ）; the incidences of cervical laceration in the observation group and the control group were 4. 76% and 9. vaginal delivery in the observation group was significantly higher than that in the control group （ 88. 10% vs 66. 67%, P 〈0. 05）; the postpartumblood loss,total stage of labor and duration between the balloon placemgroup were significantly decreased compared with those in the control group ＊（ 167. 38 ± 26. 43 ） mL vs （ 196. 67 ± 28. 64 ） mL, （443. 46 ± 123. 46） min vs （497. 47 ± 132. 14） min,（30. 27 ± 6. 82） h vs （ 38. 15 ±7. 43） h,P 〈0. 05 ] ; the Apgar s o re in the observation group was significantly higher than that in the control group [（8. 28 ± 2. 12） points vs （7. 13 ± 2. 04） points,P〈0. 05 ）]. Conclusion： Aiying balloon can effectively enhance the effect of promoting cervical ripening,therefore increase the rate of vaginal delivery, decrease cesarean section and reduce postpartum hemorrhage in full-term pregnancy,and it is worthy of clinical promotion for being safe and beneficial to improve maternal and neonatal outcomes.
出处
《现代临床医学》
2017年第1期32-34,共3页
Journal of Modern Clinical Medicine
关键词
宫颈扩张球囊
足月引产
有效性
安全性
cervical dilation balloon
term labor induction
efficacy
safety
