宫颈扩张球囊用于足月妊娠促宫颈成熟及引产的临床效果分析(1)
[摘要] 目的 探讨宫颈扩张球囊用于足月妊娠促宫颈成熟及引产的临床效果。 方法 选取2017年4月～2018年11月存在引产指征的足月妊娠孕妇94例为研究对象，按照抽签方法分为观察组和对照组，每组47例，对照组给予缩宫素治疗，观察组在对照组基础上给予宫颈扩张球囊治疗。对两组孕妇的宫颈成熟度总有效率、Bishop宫颈成熟度评分、临产时间、第一产程、阴道分娩率，剖宫产率、胎儿窘迫发生率、新生儿窒息发生率、转入NICU占比及新生儿体质量进行观察及评估。 结果 观察组总有效率(97.87%)高于对照组(74.47%)，差异有统计学意义(P<0.05)。两组在促宫颈成熟前Bishop评分比较，差异无统计学意义(P>0.05);观察组促宫颈成熟后Bishop评分高于对照组，差异有统计学意义(P<0.05)。观察组临产时间、第一产程均低于对照组，而阴道分娩率高于对照组，剖宫产率低于对照组，差异有统计学意义(P<0.05)。观察组胎儿窘迫发生率、新生儿窒息发生率及转入NICU所占比例均低于对照组，差异有统计学意义(P<0.05)，两组新生儿体质量比较，差异无统计学意义(P>0.05)。 结论 宫颈扩张球囊应用于足月妊娠促宫颈成熟及引产中具有较高的临床价值，能够在缩短临产时间的同时提高阴道分娩率，值得应用及推广。
[關键词] 宫颈扩张球囊;足月妊娠;促宫颈成熟;引产
[中图分类号] R719.3 [文献标识码] B [文章编号] 1673-9701(2019)27-0082-03
[Abstract] Objective To investigate the clinical effect of cervical dilatation balloon for cervical ripening and labor induction in term pregnancy. Methods A total of 94 term pregnant women who had indications for labor induction from April 2017 to November 2018 were included. They were randomly divided into observation group and control group by lot， each with 47 patients. The control group was treated with oxytocin. The observation group was treated with cervical dilatation balloon on the basis of the control group. The total effective rate， Bishop score of the cervical ripening， and the time in labor， first stage of labor， vaginal delivery rate， cesarean section rate， incidence of fetal distress， incidence of neonatal asphyxia， proportion of cases transferred to NICU， and the body weight of the newborns were observed and assessed. Results The total effective rate of the observation group(97.87%) was higher than that of the control group(74.47%)， and the difference was statistically significant (P<0.05). There were no significant differences in Bishop scores between the two groups before cervical ripening (P>0.05); the Bishop score of the observation group was significantly higher than that of the control group after cervical ripening(P<0.05). The time in labor and the first stage of labor of the observation group were lower than those of the control group， while the vaginal delivery rate of the observation group was higher than that of the control group， and the cesarean delivery rate of the observation group was lower than that of the control group; the differences were all statistically significant(P<0.05). The incidence of fetal distress， neonatal asphyxia and the proportion of transfer to NICU in the observation group were lower than those in the control group， the differences were all statistically significant(P<0.05)， there was no significant difference in neonatal weight between the two groups(P>0.05). Conclusion The application of cervical dilatation balloon is of higher clinical value for cervical ripening and labor induction in term pregnancy. It can shorten the time in labor and improve the vaginal delivery rate， which is worthy of application and promotion., 百拇医药(吕旸 赖晓珺 李东丽 柳海英 刘敏)
[關键词] 宫颈扩张球囊;足月妊娠;促宫颈成熟;引产
[中图分类号] R719.3 [文献标识码] B [文章编号] 1673-9701(2019)27-0082-03
[Abstract] Objective To investigate the clinical effect of cervical dilatation balloon for cervical ripening and labor induction in term pregnancy. Methods A total of 94 term pregnant women who had indications for labor induction from April 2017 to November 2018 were included. They were randomly divided into observation group and control group by lot， each with 47 patients. The control group was treated with oxytocin. The observation group was treated with cervical dilatation balloon on the basis of the control group. The total effective rate， Bishop score of the cervical ripening， and the time in labor， first stage of labor， vaginal delivery rate， cesarean section rate， incidence of fetal distress， incidence of neonatal asphyxia， proportion of cases transferred to NICU， and the body weight of the newborns were observed and assessed. Results The total effective rate of the observation group(97.87%) was higher than that of the control group(74.47%)， and the difference was statistically significant (P<0.05). There were no significant differences in Bishop scores between the two groups before cervical ripening (P>0.05); the Bishop score of the observation group was significantly higher than that of the control group after cervical ripening(P<0.05). The time in labor and the first stage of labor of the observation group were lower than those of the control group， while the vaginal delivery rate of the observation group was higher than that of the control group， and the cesarean delivery rate of the observation group was lower than that of the control group; the differences were all statistically significant(P<0.05). The incidence of fetal distress， neonatal asphyxia and the proportion of transfer to NICU in the observation group were lower than those in the control group， the differences were all statistically significant(P<0.05)， there was no significant difference in neonatal weight between the two groups(P>0.05). Conclusion The application of cervical dilatation balloon is of higher clinical value for cervical ripening and labor induction in term pregnancy. It can shorten the time in labor and improve the vaginal delivery rate， which is worthy of application and promotion., 百拇医药(吕旸 赖晓珺 李东丽 柳海英 刘敏)