子宫颈扩张球囊导管联合缩宫素用于过期妊娠引产的临床效果  

Clinical effect of cervical dilatation balloon catheter combined with oxytocin for induction of labor in prolonged pregnancy

作　　者：郭红梅 董慧丽 GUO Hongmei;DONG Huili(Xinfeng Maternal and Child Health Hospital,Jiangxi Province,Xinfeng County 341600,China)

机构地区：[1]江西省信丰县妇幼保健院,341600

出　　处：《临床合理用药杂志》2021年第8期43-44,47,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察子宫颈扩张球囊导管联合缩宫素用于过期妊娠引产的临床效果。方法选取2016年5月-2019年3月信丰县妇幼保健院收入院的过期妊娠初产妇88例,采用数字随机法分为观察组和对照组,各44例。对照组单一应用缩宫素引产,观察组在对照组基础上加用子宫颈扩张球囊导管引产。比较2组产妇引产前、后宫颈成熟度评分(Bishop评分)、2组产妇第一产程与第二产程时间、妊娠结局及并发症发生情况。结果引产后2组的Bishop评分均高于引产前,同时观察组评分高于对照组(P均<0.01);观察组产妇第一产程与第二产程分别短于对照组(t第一产程=4.331,P第一产程=0.000;t第二产程=5.713,P第二产程=0.000);观察组产妇引产成功率、顺产率均高于对照组,剖宫产率、新生儿窒息率均低于对照组(P<0.01或P<0.05);观察组产妇并发症总发生率为13.64%,低于对照组的31.82%(χ^(2)=4.141,P=0.042)。结论子宫颈扩张球囊导管联合缩宫素用于过期妊娠引产的临床效果佳,利于提高引产成功率,对降低剖宫产率有积极作用,同时可降低并发症发生风险,值得临床推广应用。Objective To observe the clinical effect of cervical dilatation balloon catheter combined with oxytocin in the induction of labor in prolonged pregnancy.Methods Eighty-eight primiparas with overdue pregnancy admitted to Xinfeng Maternal and Child Health Hospital from May 2016 to March 2019 were selected.They were randomly divided into observation group and control group,44 cases in each group.The control group was treated with oxytocin alone,and the observation group was treated with cervical dilatation balloon catheter on the basis of the control group.The cervical maturity score(Bishop score)before and after induction of labor,the time of the first and second stages of labor,pregnancy outcome and complications were compared between the two groups.Results The Bishop scores of the two groups after induced labor were higher than those before induced labor,and the scores of the observation group were higher than those of the control group(all P<0.01);The first and second stages of labor in the observation group were shorter than those in the control group(First stage:t=4.331,P=0.000;Second stage:t=5.713,P=0.000);The success rate of induced labor and the rate of spontaneous labor in the observation group were higher than those in the control group,and the rate of cesarean section and neonatal asphyxia in the observation group were lower than those in the control group(P<0.01 or P<0.05);The total incidence of maternal complications in the observation group was 13.64%,which was lower than 31.82%in the control group(χ^(2)=4.141,P=0.042).Conclusion The clinical effect of cervical dilatation balloon catheter combined with oxytocin in induction of labor of prolonged pregnancy is good,which is conducive to improve the success rate of induction of labor.At the same time,it has a positive effect on reducing the rate of cesarean section,and can reduce the risk of complications,which is worthy of clinical application.

关 键 词：过期妊娠 引产 子宫颈扩张球囊导管 缩宫素 临床效果 

分 类 号：R719.3[医药卫生—妇产科学]