不同容量小水囊对足月妊娠促宫颈成熟的效果评价  

Evaluation of the effect of small water sacs with different capacities on cervical ripening in full-term pregnancy

作　　者：芦婧 LU Jing(Department of Obstetrics and Gynecology,Fukuang General Hospital of Liaoning Health Industry Group,Fushun 113000,China)

机构地区：[1]辽宁省健康产业集团抚矿总医院妇产科,113000

出　　处：《中国现代药物应用》2021年第12期67-69,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析足月妊娠促宫颈成熟行不同容量小水囊的预后效果,为产科引产工作提供参考。方法 80例足月妊娠但宫颈成熟度不足需引产的产妇,随机分为对照组和观察组,每组40例。对照组给予30 ml小水囊促宫颈成熟,观察组给予80 ml小水囊促宫颈成熟。比较两组产妇促宫颈成熟效果、阴道分娩率、引产到临产时间、第一产程、产后出血量、新生儿体重以及不良反应发生情况(新生儿窒息、脐带脱垂、产后出血)。结果观察组产妇促宫颈成熟总有效率97.5%、阴道分娩率92.5%均高于对照组的80.0%、62.5%,差异均具有统计学意义(P<0.05)。观察组引产到临产时间(21.20±3.50)h、第一产程(5.90±2.05)h均短于对照组的(27.30±4.30)、(8.80±3.30)h,差异均具有统计学意义(P<0.05)。两组产后出血量、新生儿体重、不良反应发生率比较,差异均无统计学意义(P>0.05)。结论足月妊娠产妇行小水囊促宫颈成熟效果显著,其中, 80 ml小水囊可提高阴道分娩率,减少引产时间,是理想的小水囊容量,具有推行引产价值。Objective To analyze the prognostic effect of small water sacs with different capacities for promoting cervical ripening in full-term pregnancy,and to provide references for obstetric induction.Methods A total of 80 cases of full-term pregnancy requiring induced labor were randomly divided into control group and observation group,with 40 cases in each group.The control group received 30 ml small water for cervical ripening,and the observation group received 80 ml small water for cervical ripening.The cervical ripening effect,vaginal delivery rate,time from induction to labor,first stage of labor,amount of postpartum hemorrhage,neonatal weight,and occurrence of adverse reactions(neonatal asphyxia,umbilical cord prolapse,postpartum hemorrhage)were compared between the two groups.Results The total effective rate of cervical ripening 97.5%and vaginal delivery rate 92.5%of the observation group were higher than 80.0%and 62.5%of the control group,and the difference was statistically significant(P<0.05).The time from induction to labor(21.20±3.50)h and first stage of labor(5.90±2.05)h of the observation group were shorter than(27.30±4.30)and(8.80±3.30)h of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in amount of postpartum hemorrhage,neonatal weight and incidence of adverse reactions between the two groups(P>0.05).Conclusion Small water sac has a significant effect on cervical ripening of full-term pregnant women.Among them,80 ml small water sac can increase the vaginal delivery rate and reduce labor induction time.It is an ideal small water sac and has the value of promoting labor induction.

关 键 词：水囊容量 足月妊娠促宫颈成熟 促宫颈成熟率 阴道分娩率 引产时间 

分 类 号：R719.3[医药卫生—妇产科学]