分析水囊联合人工破膜加催产素配合优质护理用于足月妊娠引产的效果  

Analyze the Effect of Water Bladder Combined with Artificial Rupture of Membranes Plus Oxytocin Combined with High-quality Nursing for Induction of Labor in Term Pregnancy

作　　者：周爱华[1] ZHOU Aihua(Delivery Room,Taizhou Second People's Hospital,Taizhou,Jiangsu Province,225500 China)

机构地区：[1]泰州市第二人民医院产房,江苏泰州225500

出　　处：《中外医疗》2021年第28期142-146,共5页China & Foreign Medical Treatment

摘　　要：目的评价足月妊娠引产时采用水囊联合人工破膜加催产素配合优质护理的应用效果。方法方便抽取86例于2018年6月-2020年6月期间该院收治的足月妊娠引产产妇开展研究,回顾产妇临床资料,以不同的分娩技巧配合优质护理将86例产妇分为对照组、观察组,各43例。对照组用催产素引产配合优质护理,观察组行水囊联合人工破膜加催产素引产配合优质护理。对比两组的产程、宫颈成熟度评分、疼痛评分、产后出血量、自然分娩率、母婴并发症,患者满意度等情况。结果观察组产妇第一产程、第二产程、总产程时间分别为(422.15±192.20)、(80.24±22.57)、(480.47±132.57)min,均短于对照组的(501.75±148.11)、(108.67±23.17)、(544.35±155.15)min,差异有统计学意义(t=2.151、5.764、2.053,P<0.05);观察组产妇的宫颈成熟度评分、产后出血量分别为(6.35±1.85)分、(155.45±52.08)mL,优于对照组的(4.31±0.72)分、(211.51±30.89)mL,差异有统计学意义(t=6.739、6.071,P<0.05);观察组疼痛评分为(3.50±0.33)分与对照组的(3.61±0.54)分相比,差异无统计学意义(t=1.140,P>0.05);观察组产妇的自然分娩率为95.35%、母婴并发症发生率为2.33%,均优于对照组的81.40%、18.60%,差异有统计学意义(χ^(2)=4.074、4.468,P<0.05);观察组患者满意度为95.35%,对照组患者满意度为90.70%,差异无统计学意义(χ^(2)=0.179,P>0.05)。结论足月妊娠引产时,采用水囊联合人工破膜加催产素配合优质护理,既能缩短产程时间与引产至分娩时间,又能提高宫颈成熟度、减少产后出血量、提升自然分娩率,对减少母婴并发症具有积极作用。Objective To evaluate the application effect of water bladder combined with artificial rupture of membranes and oxytocin combined with high-quality nursing in the induction of labor in full-term pregnancy.Methods A total of 86 cases of full-term pregnant women who were admitted to the hospital from June 2018 to June 2020 were conveniently selected to conduct a study.The clinical data of the women were reviewed,and the 86 cases were divided into control group and observation group based on different delivery techniques and high-quality nursing care,43 cases in each group.The control group used oxytocin to induce labor with high-quality nursing,and the observation group received water bladder combined with artificial membrane rupture plus oxytocin to induce labor with high-quality nursing.The labor process,cervical maturity score,pain score,postpartum hemorrhage,natural delivery rate,maternal and infant complications,and patient satisfaction were compared between the two groups.Results The first,second,and total labor time of the observation group were(422.15±192.20)min,(80.24±22.57)min,(480.47±132.57)min,which were shorter than the control group's(501.75±148.11)min,(108.67±23.17)min,(544.35±155.15)min,the difference was statistically significant(t=2.151,5.764,2.053,P<0.05);the observation group's cervical maturity score and postpartum hemorrhage were respectively(6.35±1.85)points,(155.45±52.08)mL,better than the control group(4.31±0.72)points,(211.51±30.89)mL,the difference was statistically significant(t=6.739,6.071,P<0.05);the pain score of the observation group was(3.50±0.33)points compared with the control group’s(3.61±0.54)points,and there was no statistically significant difference(t=1.140,P>0.05);the natural delivery rate of the observation group was 95.35% and the complication rate was 2.33%,which was better than 81.40% and 18.60%of the control group.The difference was statistically significant(χ^(2)=4.074,4.468,P<0.05);the patient satisfaction rate of the observation group was 95.35%,and th

关 键 词：足月妊娠 水囊引产 催产素 优质护理 

分 类 号：R719[医药卫生—妇产科学]