宫颈水囊在妊娠晚期引产中的应用效果  

Effect of Cervical Sac in Induction of Labor in Late Pregnancy

作　　者：朱艳红 ZHU Yanhong(Lianhua County Maternal and Child Health Hospital,Pingxiang 337100,China)

机构地区：[1]江西省莲花县妇幼保健院,江西萍乡337100

出　　处：《中国医药指南》2022年第23期94-96,共3页Guide of China Medicine

摘　　要：目的分析宫颈水囊在妊娠晚期引产中的应用效果。方法选择我院2020年1月至2022年3月妊娠晚期引产患者100例,随机分为两组,每组50例,对照组给予常规催产素进行引产,观察组采取宫颈水囊的方式进行引产。比较两组Bishop评分、促宫颈成熟总有效率、自然分娩率、产程时间、引产所需总时间、产后出血总量。结果治疗前,两组产妇的Bishop评分对比差异无统计学意义,P>0.05。治疗后,观察组Bishop评分(7.45±1.84)分高于对照组的(5.42±0.64)分,P<0.05。观察组促宫颈成熟总有效率高于对照组,P<0.05。观察组因引产失败导致的剖宫产率低于对照组,P<0.05。观察组产程时间、引产所需总时间短于对照组,产后出血总量低于对照组,P<0.05。结论宫颈水囊在妊娠晚期引产中的应用效果确切,相对于常规催产素治疗而言,可有效促宫颈成熟,提高自然分娩率,缩短产程时间、引产所需总时间,减少产后出血总量。Objective To analyze the effect of cervical water sac in induced labor in the third trimester of pregnancy.Methods A total of 100 patients with induced labor in the third trimester of pregnancy in our hospital from January 2020 to March 2022 were randomly divided into two groups,50 cases in each group.The control group was given conventional oxytocin for induced labor,while the observation group was given cervical water sac for induced labor.Bishop score,total effective rate of cervical maturation,natural delivery rate,labor duration,total time required for induced labor and total postpartum hemorrhage were compared between the two groups.Results Before treatment,there was no significant difference in Bishop score between the two groups(P>0.05).After treatment,the Bishop score of the observation group was(7.45±1.84),which was higher than(5.42±0.64)of the control group(P<0.05).The total effective rate of cervical maturation in the observation group was higher than that in the control group(P<0.05).The cesarean section rate due to failure of labor induction in the observation group was lower than that in the control group(P<0.05).The duration of labor,the total time required for induced labor and the total amount of postpartum hemorrhage in observation group were lower than those in control group(P<0.05).Conclusion Compared with conventional oxytocin treatment,cervical water sac can effectively promote cervical ripening,increase the rate of natural childbirth,shorten the labor process time,the total time required for labor induction,and reduce the total amount of postpartum hemorrhage.

关 键 词：妊娠晚期引产 宫颈水囊 剖宫产 自然分娩 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]