缩宫素配合气囊助产在临床分娩中的应用  

Balloon dilation combined with oxytocin for labor induction

作　　者：宋学军[1] 余燕维[1] 姚文君[1] 毛春波[1] 马建婷[1] 邵华江[1] 

机构地区：[1]余姚市人民医院妇产科,315400

出　　处：《浙江医学》2015年第22期1832-1834,共3页Zhejiang Medical Journal

基　　金：浙江省医药卫生适宜技术成果转化项目(2012ZHB015)

摘　　要：目的探讨缩宫素配合气囊助产用于产妇自然分娩的临床应用价值。方法对2012年1月至2014年11月收治的300例产妇的临床资料进行回顾性分析,根据助产方法不同分为缩宫素配合气囊助产(观察组)和单纯使用缩宫素引产(对照组)各150例。观察比较两组产妇第一、第二产程和总产程时间、分娩方式和分娩结局。结果观察组第一产程、第二产程、总产程时间分别为(249.29±79.36)、(31.58±18.34)、(257.15±83.26)min;对照组第一产程、第二产程、总产程时间分别为(374.17±89.56)、(57.20±29.47)、(368.39±92.18)min;两组产妇产程比较差异均有统计学意义(均P<0.05)。观察组自然分娩105例(70.00%),产钳助产13例(8.67%),剖宫产32例(21.33%);对照组自然分娩71例(47.33%),产钳助产19例(12.67%),剖宫产60例(40.00%);两组产妇分娩方式比较差异均有统计学意义(均P<0.05)。观察组新生儿Apgar评分<8分4例(2.67%),产后出血2例(1.33%),无软产道损伤和胎儿窘迫;对照组新生儿Apgar评分<8分8例(5.33%),产后出血6例(4.00%),软产道损伤5例(3.33%),胎儿窘迫3例(2.00%);两组产妇分娩结局比较差异有统计学意义(均P<0.05)。结论缩宫素配合气囊助产能有效缩短产程,减少剖宫产率和产后出血、软产道损伤、胎儿窘迫发生率,能减少产妇分娩痛苦,安全有效,有临床应用推广价值。Objective To evaluate the application of balloon dilation combined with oxytocin for labor induction. Methods Clinical data of 300 pregnant women delivered from January 2012 to November 2014 were retrospectively analyzed, including 150 cases received intravenous infusion oxytocin （control group）, 150 cases received intravenous oxytocin combined with balloon dilation （study group）. Then the first and second stage of labor and total labor time, mode of delivery and birth outcomes were compared between two groups. Results The first stage, second stage, the total labor time were （249.29 ± 79.36）min, （31.58±18.34） min and （257.15 ± 83.26） min in study group, respectively; while those in control group were （374.17± 89.56） rain, （57.20 ± 29.47） min and （368.39 ± 92.18） rain in the control group, there were significant differences between two groups （all P〈0.05）. There were 105 cases of vaginal delivery （70.00%）,13 cases of forceps delivery （8.67%）, 32 cases of cesarean section （21.33%） in study group; while there were 71 cases of vaginal delivery （47.33%）, 19 cases of forceps delivery （12.67%）, 60 cases of cesarean section （40.00%） in control group （P〈0.05）. There were 4 cases （2.67%） with Apgar scores 〈8, 2 cases （1.33%） od postpartum hemorrhage, no soft birth canal injury and no fetal distress in study group; while there were 8 cases （5.33%） with Apgar score〈8, 6 cases （4.00%） of postpartum hemorrhage, 5 cases （3.33%） of soft birth canal injury and 3 cases （2.00%） of fetal distress in control group （P〈0.05）. Conclusion Oxytocin combined with balloon dilation for labor induction can shorten the labor stage and reduce the rate of cesarean section, postpartum hemorrhage, soft birth canal injury and the incidence of fetal distress effectively.

关 键 词：缩宫素 气囊助产 产程 

分 类 号：R473.71[医药卫生—护理学]