宫颈扩张球囊联合催产素用于瘢痕子宫妊娠催产的效果与护理干预  

The Effect and Nursing Intervention of Cervical Dilation Balloon Combined with Oxytocin for Induced Labor in Scarred Uterus Pregnancy

作　　者：卢柳英 谢学萍[1] 邓惠霞 邓晓敏 Lu Liuying;Xie Xueping;Deng Huixia;Deng Xiaomin(Department of Obstetrics,Gaozhou People's Hospital,Gaozhou 525200,China)

机构地区：[1]高州市人民医院产科,广东高州525200

出　　处：《实用妇科内分泌电子杂志》2021年第8期43-46,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：社会发展领域项目(编号190401141700114)。

摘　　要：目的探讨宫颈扩张球囊联合催产素用于瘢痕子宫妊娠催产的效果及护理措施。方法选取100例妊娠晚期产妇,按照组间基线资料匹配原则均分为观察组与对照组,每组50例。对照组采取催产素催产的常规护理,观察组采取COOK宫颈扩张球囊联合催产素催产的综合护理干预。比较两组促宫颈成熟Bishop评分、诱发临产时间、第一产程时间、第二产程时间。结果促宫颈成熟前,两组Bishop评分比较,差异无统计学意义(P>0.05);促宫颈成熟后,观察组Bishop评分(&72±1.54)分,明显高于对照组的(6.10±1.23)分,差异有统计学意义(P<0.05);观察组诱发临产时间、第一产程时间明显短于对照组,第二产程时间明显长于对照组,差异有统计学意义(P<0.05)。结论在瘢痕子宫足月妊娠催产中采用宫颈扩张球囊联合催产素催产,并配合综合护理干预,可提高宫颈成熟度,有利于诱发临产,缩短产程,母婴安全性高。Objective To explore the effect of cervical dilatation balloon combined with oxytocin for induced labor in scarred uterus pregnancy and nursing measures.Methods A total of 100 parturients in the third trimester of pregnancy were selected as the research objects,and they were divided into observation group and control group according to the principle of baseline data matching between groups,with 50 cases in each group.The control group was given routine nursing care of oxytocin-induced labor,and the observation group was given comprehensive nursing intervention of COOK cervical dilation balloon induced labor.The Bishop score,the time of induction of labor,the time of the first stage of labor and the time of the second stage of labor were compared between the two groups.Results Before the intervention,there was no significant difference in Bishop score between the two groups(P>0.05).After the intervention,the Bishop score of the observation group was(8.72±1.54)points,which was significantly higher than the control group(6.10±1.23)points(P<0.05);the induced labor time and the first labor time in the observation group were significantly shorter in the control group,the time of the second stage of labor was significantly longer than that in the control group(P<0.05).Conclusion The use of cervical dilatation balloon combined with oxytocin to induce labor in scar uterine full-term pregnancy,combined with comprehensive nursing intervention,can improve cervical maturity,help induce labor,shorten labor,and have high maternal and infant safety.

关 键 词：瘢痕子宫 宫颈扩张球囊 催产素 护理干预 

分 类 号：R473.71[医药卫生—护理学]