宫颈扩张球囊联合催产素应用于瘢痕子宫阴道试产的效果分析  

Analysis of the Effect of Cervical dilatation Balloon combined with Oxytocin on Vaginal Delivery among Women with Scar uterus

作　　者：赵娟 ZHAO Juan(Department of Gynecology and Obstetrics,Health Care Hospital for Women and Children in Hua County,Anyang Henan 456400,China)

机构地区：[1]河南省滑县妇幼保健院妇产科,河南安阳456400

出　　处：《临床研究》2020年第9期36-38,共3页Clinical Research

摘　　要：目的探讨宫颈扩张球囊联合静脉滴注催产素应用于瘢痕子宫阴道试产的效果。方法选择2019年1月—2020年1月就诊于河南省滑县妇幼保健院的246例瘢痕子宫足月妊娠并自愿阴道试产的孕妇为研究对象,采用随机数字表法分为催产素组(对照组)、宫颈扩张球囊联合催产素组(观察组),每组患者123例,比较两组患者的宫颈成熟度、分娩方式和母婴结局。结果观察组孕产妇引产显效102例,有效16例,总有效率为95.93%,对照组孕产妇引产显效72例,有效32例,总有效率为84.55%,观察组总有效率显著高于对照组,差异有统计学意义(χ2=9.050,P<0.05)。观察组阴道分娩率为87.80%(108/123),对照组阴道分娩率为69.92%(86/123),观察组显著高于对照组,差异有统计学意义(χ2=11.803,P=0.001)。观察组总产程时长显著短于对照组(t=2.905,P<0.05),两组产妇产后出血量比较差异无统计学意义(t=0.978,P>0.05),会阴撕裂伤率、会阴侧切率比较差异无统计学意义(χ2值分别为0.037、0.616,均P>0.05)。两组产妇产后出血率、产后感染率、新生儿窒息率和NRDS率比较差异无统计学意义(均P>0.05)。结论宫颈扩张球囊联合催产素能有效提升瘢痕子宫产妇的阴道分娩成功率,并缩短总产程时长,同时对母婴结局无不良影响。Objective To investigate the effect of cervical dilation balloon combined with intravenous oxytocin infusion on vaginal delivery among women with scar uterus.Methods 246 women with scar uterus and full-term pregnancy from January 2019 to January 2020 health care hospital for women and children in Hua county in Henan province were selected.Women were randomLy divided into cervical dilation balloon joint oxytocin group(observation group)and oxytocin group(control group)according to random number table,and 123 cases of patients in each group.The cervical maturity,delivery mode and maternal and infant outcomes were compared between the two groups.Results There were 102 cases with obvious effect of labor induction,16 cases with effective effect,and the total effective rate was 95.93%in observation group.There were 72 cases with obvious effect of labor induction,and 32 cases with effective effect,and the total effective rate was 84.55%in control group.The total effective rate in the observation group was significantly higher than that in the control group,and the difference was statistically significant(χ2=9.050,P<0.05).The rate of vaginal delivery in observation group was 87.80%(108/123),which was 69.92%(86/123)in control group.The rate of vaginal delivery in the observation group was significantly higher than that in control group,and the difference was statistically significant(χ2=11.803,P=0.001).The total duration of labor in the observation group was significantly shorter than that in control group(t=2.905,P<0.05).There was no statistically significant difference in postpartum hemorrhage between the two groups(t=0.978,P>0.05),and there was no statistically significant difference in the rate of perineal laceration and lateral perineal incision between the two groups(χ2 value was 0.037,0.616.all P>0.05).There was no significant difference in postpartum hemorrhage rate,postpartum infection rate,neonatal asphyxia rate and NRDS rate between the two groups(all P>0.05).Conclusion Cervical dilatation balloon combined w

关 键 词：瘢痕子宫 阴道分娩 宫颈扩张球囊 催产素 

分 类 号：R712.1[医药卫生—妇产科学]