摘要
目的:探讨足月妊娠产妇应用宫颈扩张球囊效果。方法:收集2018年1月-2019年3月本院就诊的有引产指征足月妊娠孕妇220例临床资料,根据不同引产方法分为球囊组(109例,给予宫颈扩张球囊引产)和缩宫素组(111例,给予缩宫素引产),观察两组引产及妊娠结局。结果:球囊组促宫颈成熟成功率(92.7%)、引产成功率(91.7%)高于缩宫素组(78.4%、71.2%),治疗后Bishop评分(7.0±1.0分)高于缩宫素组(6.0±1.0分),阴道分娩比例(90.8%)高于对照组(79.3%),产后出血量(270.0±25.6ml)和总产程(6.7±1.2 h)少于缩宫素组(304.5±30.2 ml、8.1±2.0 h)(均P<0.05);两组新生儿体质量、新生儿窒息及出生后5min Apgar评分比较无差异(P>0.05)。结论:足月妊娠产妇应用宫颈扩张球囊有较好的引产效果,值得临床使用。
Objective:To explore the effect of cervical dilatation balloon used for induced labor of women with full-term pregnancy.Methods:The data of 220 women with full-term pregnancy from January 2018 to March 2019 were collected.These women were divided in observation group(109 women were given induction by cervical dilatation balloon)and in control group(111 women were given induction by oxytocin).The dilatation effectiveness and pregnancy outcomes of women in both groups were observed.Results:After treatment,the success rate of promoting cervical mature,the success rate of induced labor,the Bishop score,vaginal delivery rate of women in the observation group were 92.7%,91.7%,7.0±1.0,and 90.8%,respectively,which were significant higher than those(78.4%,71.2%,6.0±1.0,79.3%,respectively)of women in the control group.The postpartum haemorrhage amount and total labor of women in the observation group were 270.0±25.6 ml and 6.7±1.2 h,which were significant less than those(304.5±30.2 ml and 8.1±2.0 h)of women in the control group(all P<0.05).There were no significant difference in body mass,asphyxia rate and Apgar score 5min after birth of newborns between the two groups(P>0.05).Conclusion:The application of cervical dilatation balloon in women with full-term pregnancy has better effect and is worthy of clinical use.
作者
马叶烨
郭超
乔晓林
MA Yeye;GUO Chao;QIAO Xiaolin(Chaoyang District Maternal and Child Health Care Hospital, Beijing, 100021)
出处
《中国计划生育学杂志》
2020年第4期580-582,586,共4页
Chinese Journal of Family Planning
关键词
足月妊娠
宫颈扩张球囊
宫颈成熟
引产成功
新生儿
Full-term pregnancy
Cervical dilatation balloon
Cervical mature
Success of induced labor
Application effect
Neonatus
