羊膜腔灌注后子宫颈扩张球囊引产在足月妊娠羊水过少孕妇中的效果分析(1)
【摘要】 目的：探究羊膜腔灌注后子宮颈扩张球囊引产在足月妊娠羊水过少孕妇中的应用效果。方法：选取2018年1月-2020年1月本院收治的足月妊娠羊水过少孕妇100例为研究对象。按照随机数字表法将其分为观察组和对照组，各50例。对照组常规进行子宫颈扩张球囊引产，观察组行羊膜腔灌注后再行子宫颈扩张球囊引产。比较两组分娩情况、分娩方式、新生儿结局及并发症发生情况。结果：观察组引产前羊水指数(AFI)高于对照组，且产后出血量少于对照组(P<0.05)。观察组阴道分娩率高于对照组，而转剖宫产率低于对照组(P<0.05)。观察组新生儿出生5 min的Apgar评分高于对照组(P<0.05)。观察组新生儿窒息发生、胎儿窘迫及胎粪吸入综合征发生率均低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论：羊膜腔灌注后子宫颈扩张球囊引产可有效扩充羊水，提高足月妊娠羊水过少孕妇的阴道分娩量，降低剖宫产率，改善新生儿结局，安全性较高，值得临床推广使用。
【关键词】 足月妊娠 羊水过少 羊膜腔灌注 子宫颈扩张球囊
Effect of Induction of Labor by Dilated Balloon of Cervix Uteri after Amniotic Cavity Perfusion in Full-term Pregnant Women with Oligohydramnios/HUO Liyan， WANG Yanxiang， ZHOU Xin， SONG Min， XIAO Xiaochao， QU Lingju， WU Shuangying. //Medical Innovation of China， 2020， 17(25)： 165-168
[Abstract] Objective： To explore the effect of induction of labor by dilated balloon of cervix uteri after amniotic cavity perfusion in full-term pregnant women with oligohydramnios. Method： A total of 100 full-term pregnant women with oligohydramnios admitted to our hospital from January 2018 to January 2020 were selected as study subjects. According to the random number table method， they were divided into observation group and control group， 50 cases in each group. The control group was treated with induction of labor by routinely balloon dilatation of the cervix， and the observation group was treated with induction of labor bydilated balloon of cervix uteri after amniotic cavity perfusion. The delivery conditions， delivery modes， neonatal outcome and complications of the two groups were compared. Result： The amniotic fluid index (AFI) of the observation group before labor induction was higher than that of the control group， and the postpartum hemorrhage was lower than that of the control group (P<0.05).. The rate of vaginal delivery in the observation group was higher than that in the control group， while the conversion rate of cesarean section was lower than that in the control group (P<0.05). Apgar score 5 min after birth in observation group was higher than that in control group (P<0.05). The incidence of neonatal asphyxia， fetal distress and meconium aspiration syndrome in the observation group were lower than those in the control group (P<0.05). The complication rate of the observation group was lower than that of the control group (P<0.05). Conclusion： The induction of labor by dilated balloon of cervix uteri after amniotic cavity perfusion can effectively expand the amniotic fluid， improve the vaginal delivery of full-term pregnant women with oligohydramnios， reduce the cesarean section rate， improve neonatal outcomes， and has high safety， which is worthy of clinical application., 百拇医药(霍丽艳 王艳香 周欣 宋敏 肖晓超 曲灵菊 吴双英)
【关键词】 足月妊娠 羊水过少 羊膜腔灌注 子宫颈扩张球囊
Effect of Induction of Labor by Dilated Balloon of Cervix Uteri after Amniotic Cavity Perfusion in Full-term Pregnant Women with Oligohydramnios/HUO Liyan， WANG Yanxiang， ZHOU Xin， SONG Min， XIAO Xiaochao， QU Lingju， WU Shuangying. //Medical Innovation of China， 2020， 17(25)： 165-168
[Abstract] Objective： To explore the effect of induction of labor by dilated balloon of cervix uteri after amniotic cavity perfusion in full-term pregnant women with oligohydramnios. Method： A total of 100 full-term pregnant women with oligohydramnios admitted to our hospital from January 2018 to January 2020 were selected as study subjects. According to the random number table method， they were divided into observation group and control group， 50 cases in each group. The control group was treated with induction of labor by routinely balloon dilatation of the cervix， and the observation group was treated with induction of labor bydilated balloon of cervix uteri after amniotic cavity perfusion. The delivery conditions， delivery modes， neonatal outcome and complications of the two groups were compared. Result： The amniotic fluid index (AFI) of the observation group before labor induction was higher than that of the control group， and the postpartum hemorrhage was lower than that of the control group (P<0.05).. The rate of vaginal delivery in the observation group was higher than that in the control group， while the conversion rate of cesarean section was lower than that in the control group (P<0.05). Apgar score 5 min after birth in observation group was higher than that in control group (P<0.05). The incidence of neonatal asphyxia， fetal distress and meconium aspiration syndrome in the observation group were lower than those in the control group (P<0.05). The complication rate of the observation group was lower than that of the control group (P<0.05). Conclusion： The induction of labor by dilated balloon of cervix uteri after amniotic cavity perfusion can effectively expand the amniotic fluid， improve the vaginal delivery of full-term pregnant women with oligohydramnios， reduce the cesarean section rate， improve neonatal outcomes， and has high safety， which is worthy of clinical application., 百拇医药(霍丽艳 王艳香 周欣 宋敏 肖晓超 曲灵菊 吴双英)