单球囊联合间苯三酚对晚期妊娠妇女宫颈成熟和母婴结局的影响  

Effect of single balloon combined with Phloroglucinol on cervical ripening and maternal and infant outcomes in late pregnancy women

作　　者：黎亮儿 伍冠 姜军 LI Liang′er;WU Guan;JIANG Jun(Department of Obstetrics,Yangchun Maternal and Child Health Hospital,Guangdong Province,Yangjiang529600,China)

机构地区：[1]广东省阳春市妇幼保健院产科,广东阳江529600

出　　处：《中国当代医药》2022年第2期103-105,共3页China Modern Medicine

基　　金：广东省阳江市医疗卫生类科技计划项目(SF2020196)。

摘　　要：目的探讨单球囊联合间苯三酚对晚期妊娠妇女宫颈成熟和母婴结局的影响。方法回顾性选取2020年1月至12月阳春市妇幼保健院收治的84例晚期妊娠妇女作为研究对象,按照干预方式的不同分为观察组和对照组,每组各42例。对照组采用单球囊方式进行引产,观察组采用单球囊联合间苯三酚方式进行引产。比较两组的宫颈成熟程度、产程及母婴结局,并对相关数据进行统计学分析。结果干预前两组Bishop评分比较,差异无统计学意义(P>0.05);干预后两组的Bishop评分均高于干预前,且干预后观察组Bishop评分高于对照组,差异有统计学意义(P<0.05)。观察组第一产程、第二产程以及总产程短于对照组,差异有统计学意义(P<0.05);两组的第三产程比较,差异无统计学意义(P>0.05);观察组产妇产后出血量少于对照组,差异有统计学意义(P<0.05);两组新生儿体重、5 min Apgar评分、15 min神经及适应能力评分(NACS)评分、24 h NACS比较,差异均无统计学意义(P>0.05)。结论对晚期妊娠妇女采用单球囊联合间苯三酚引产,能够提升妇女宫颈成熟度,缩短患者产程,改善母婴结局,具有明确的临床效果,建议进行推广应用。Objective To explore the effect of single balloon combined with Phloroglucinol on cervical ripening and maternal and infant outcomes of late pregnant women.Methods A retrospective selection of 84 late-pregnancy women admitted to Yangchun Maternity and Child Health Hospital from January 2020 to December 2020 was selected as the research object.According to the different intervention methods,they were divided into observation group and control group,with 42 cases in each group.The control group were induced labor by single balloon,while the observation group were induced labor by single balloon combined with Phloroglucinol.The cervical maturity,labor process and maternal and infant outcomes of the two groups were compared,and the relevant data were statistically analyzed.Results There was no significant difference in Bishop score between the two groups before intervention(P>0.05).The Bishop score of the two groups after intervention were higher than those before intervention,and the Bishop score of the observation group was higher than that in the control group after intervention,and the differences were statistically significant.There was no significant difference in the third stage of labor between the experimental group and the control group(P>0.05).The postpartum hemorrhage of the experimental group was lower than that of the control group,the difference was statistically significant(P<0.05).There were no significant differences in neonatal weight,5 min Apgar score,15 min neurological and adaptive capacity score(NACS)and 24 h NACS between the experimental group and the control group(P>0.05).Conclusion The single balloon combined with Phloroglucinol induction of labor for late pregnant women can improve the cervical maturity of women,shorten the labor process of patients,and improve the maternal and infant outcomes,which has a clear clinical effect,so it is recommended to promote the application.

关 键 词：单球囊 间苯三酚 晚期妊娠 宫颈成熟 母婴结局 

分 类 号：R714[医药卫生—妇产科学]