宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性  

Clinical Efficacy and Safety of Cervical Dilation Balloon and Misoprostol in Promoting Cervical Ripening and Induction of Labor in Primiparae with Full-term Pregnancy

作　　者：张志巧 ZHANG Zhi-qiao(Department of Obstetrics and Gynecology,Guangxin District People's Hospital,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区人民医院妇产科,江西上饶334100

出　　处：《医学信息》2021年第24期99-101,共3页Journal of Medical Information

摘　　要：目的研究宫颈扩张球囊与米索前列醇在足月妊娠初产妇促宫颈成熟引产中的临床疗效及安全性。方法选取2018年8月-2021年8月在我院分娩的62例足月妊娠促宫颈成熟引产初产妇为研究对象,随机分为对照组和观察组,各31例。对照组采用米索前列醇促宫颈成熟引产,观察组采用宫颈扩张球囊引产。比较两组宫颈Bishop评分、促宫颈成熟效果、分娩方式、新生儿Apgar评分、总产程时间、母婴并发症发生率。结果干预后,两组宫颈Bishop评分均高于干预前,且观察组高于对照组(P<0.05)。观察组促宫颈成熟总有效率高于对照组(93.55%vs 80.65%),阴道分娩率高于对照组(74.19%vs 51.61%),剖宫产分娩率低于对照组(25.81%vs 48.39%),差异均有统计学意义(P<0.05)。两组新生儿Apgar评分、总产程时间与对照组比较,差异无统计学意义(P>0.05)。观察组母婴并发症发生率低于对照组(9.68%vs 22.58%),差异有统计学意义(P<0.05)。结论宫颈扩张球囊在足月妊娠初产妇促宫颈成熟引产中疗效确切,可提高宫颈成熟总有效率,提高宫颈Bishop评分和阴道分娩率,降低并发症发生率,且不会延长产程时间,安全性理想。Objective To study the clinical efficacy and safety of cervical dilation balloon and misoprostol in promoting cervical ripening and induction of labor in primiparae with full-term pregnancy.Methods From August 2018 to August 2021,62 cases of full-term pregnancy induced by cervical ripening were randomly divided into control group and observation group,with 31 cases in each group.The control group was induced by misoprostol for cervical ripening,and the observation group was induced by cervical dilatation balloon.The cervical Bishop score,cervical ripening effect,delivery mode,neonatal Apgar score,total delivery time,and incidence of maternal and infant complications were compared between the two groups.Results After the intervention,the cervical Bishop scores of the two groups were higher than those before the intervention,and the observation group was higher than the control group(P<0.05).The total effective rate of cervical ripening in the observation group was higher than that in the control group(93.55%vs 80.65%),the vaginal delivery rate in the observation group was higher than that in the control group(74.19%vs 51.61%),and the cesarean delivery rate was lower than that in the control group(25.81%vs 48.39%),the difference was statistically significant(P<0.05).There was no significant difference in Apgar score and total labor time between the two groups(P>0.05).The incidence of maternal and infant complications in the observation group was lower than that in the control group(9.68%vs 22.58%),and the difference was statistically significant(P<0.05).Conclusion Cervical dilatation balloon is effective in promoting cervical ripening and induction of labor in primipara of full-term pregnancy,which can improve the total effective rate of cervical ripening,improve cervical Bishop score and vaginal delivery rate,reduce the incidence of complications,and does not prolong the labor time,the safety is ideal.

关 键 词：宫颈扩张球囊 米索前列醇 足月妊娠 初产妇 引产 

分 类 号：R714[医药卫生—妇产科学]