双球囊导管在足月妊娠促宫颈成熟和引产中的应用  

Efficacy of Double-balloon Catheter for Cervical Ripening and Labor Induction

作　　者：张力[1] 刘兴会[1] 卫蔷[1] 边策[1] 彭冰[1] 姚强[1] 

机构地区：[1]四川大学华西第二医院妇产科,成都610041

出　　处：《四川大学学报（医学版）》2013年第3期497-501,共5页Journal of Sichuan University(Medical Sciences)

摘　　要：目的探讨双球囊导管用于足月单胎孕妇促宫颈成熟和引产的应用指征、安全性、有效性及应用技巧。方法搜集四川大学华西第二医院2011年5月至2012年10月586例应用双球囊导管孕妇的临床资料,按照放置球囊前的宫颈Bishop评分分为试验1组(Bishop评分≤3分,155例)、试验2组(Bishop评分4～5分,223例)和试验3组(Bishop评分≥6分,208例),并与同期宫颈Bishop评分≥6分而直接应用缩宫素静滴引产的112例孕妇(对照组)进行比较。结果①试验1、2、3组双球囊导管促宫颈成熟有效率、阴道分娩率逐渐递增,缩宫素使用率和使用时间逐渐递减,差异均有统计学意义。②与对照组相比,试验3组阴道分娩率明显增加、总产程明显缩短,差异均有统计学意义;两组母婴并发症的比较差异无统计学意义。结论双球囊导管促宫颈成熟与引产的效果与宫颈Bishop评分密切相关,适合于宫颈Bishop评分较高孕妇的促宫颈成熟和计划分娩。Objecitve To study the indication, efficacy, and safety of double-balloon catheter for cervical ripening and labor induction in term pregnant women. Methods A total of 586 pregnant women using double- balloon catheters from May 2011 to October 2012 were divided into three groups according to their initial Bishop scores： group 1 （Bishop score ≤3, n=155）, group 2 （Bishop score 4-5, n=223） and group 3 （Bishop score ≥6, n=208）. The control group （Bishop score≥6, n=112） were directly given low-dose of oxytocin through continuous intravenous infusion for labor induction. Results ① The effective rate of cervical ripening and the success rate of vaginal delivery in group 1, 2 and 3 were gradually increased, with significantly differences among the three groups. The rate and the duration of oxytoein infusion were gradually decreased in group 1, 2 and 3, also with significantly differences. ② The success rate of vaginal delivery in group 3 was significantly higher than that in control group. The average total labor stage of group 3 was significantly shorter than that of control group. The complications of mothers and fetus showed no significant difference between the two groups. Conclusion The efficacy of double-balloon catheter for cervical ripening and labor induction was closely associated with the Bishop score. It is suitable in pregnant women with higher Bishop score.

关 键 词：双球囊导管 促宫颈成熟 引产 

分 类 号：R719.3[医药卫生—妇产科学]