摘要
目的探讨双球囊导管对瘢痕子宫足月妊娠促宫颈成熟及引产的临床效果。方法50例瘢痕子宫足月妊娠引产孕妇作为研究对象,随机分为对照组与研究组,各25例。对照组予以缩宫素治疗,研究组选用双球囊导管治疗。比较两组干预前后宫颈Bishop评分及妊娠结局、新生儿情况。结果干预12 h后,两组宫颈Bishop评分均高于本组干预前,且研究组宫颈Bishop评分(8.75±0.92)分高于对照组的(5.65±0.73)分,差异均有统计学意义(P<0.05)。研究组剖宫产率8.00%低于对照组的32.00%,第一产程(6.38±0.75)h短于对照组的(10.58±1.22)h,差异有统计学意义(P<0.05)。两组宫内感染、产后大出血、子宫破裂发生率比较,差异无统计学意义(P>0.05)。两组新生儿窒息率、5 min Apgar评分、胎儿宫内窘迫率比较,差异无统计学意义(P>0.05)。结论对于瘢痕子宫足月妊娠孕妇,予以双球囊导管干预可促进孕妇宫颈成熟,有利于引产,并较安全,可临床推广。
Objective To discuss the clinical effect of double balloon catheter in promoting cervix maturation and inducing labor during full-term pregnancy with scarred uterus.Methods A total of 50 cases of full-term pregnancy induced labor with scarred uterus were selected as the research subjects,and they were randomly divided into the control group and the research group,with 25 cases in each group.The control group was treated with oxytocin,and the research group was treated with double balloon catheter.The cervical Bishop scores before and after the intervention,pregnancy outcomes and neonatal conditions were compared between the two groups.Results After 12 h of intervention,the cervical Bishop scores of the two groups were higher than those of this group before the intervention,and the cervical Bishop score(8.75±0.92)points of the research group was higher than(5.65±0.73)points of the control group.All the differences were statistically significant(P<0.05).The cesarean section rate 8.00%in the research group was lower than 32.00%in the control group,and the first stage of labor(6.38±0.75)h was shorter than(10.58±1.22)h in the control group.All the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of intrauterine infection,postpartum hemorrhage and uterine rupture between the two groups(P>0.05).There was no statistically significant difference in the neonatal asphyxia rate,5 min Apgar score and fetal distress rate between the two groups(P>0.05).Conclusion Double balloon catheter intervention for pregnant women with scarred uterus full-term pregnancy can promote cervical maturation of pregnant women,conducive to labor induction,and is relatively safe,which can be promoted clinically.
作者
何晓君
李镇铭
HE Xiao-jun;LI Zhen-ming(Department of Obstetrics and Gynecology,Dongguan Eighth People's Hospital,Dongguan 523000,China)
出处
《中国实用医药》
2022年第14期45-48,共4页
China Practical Medicine
关键词
双球囊导管
瘢痕子宫
足月妊娠
宫颈成熟
引产
疗效
Double balloon catheter
Scarred uterus
Full-term pregnancy
Cervix maturation
Induced labor
Efficacy
