宫颈球囊扩张器对足月妊娠引产孕妇宫颈成熟、分娩及母婴结局的影响分析  

Analysis of the Effect of Cervical Balloon Dilator on Cervical Ripening,Delivery and Maternal and Infant Outcomes of Pregnant Women with Full-term Pregnancy Induction

作　　者：刘建荣 LIU Jianrong(Department of Obstetrics and Gynecology,Shuyang County Maternal and Child Health Hospital,Shuyang,Jiangsu Province,223600 China)

机构地区：[1]江苏省宿迁市沭阳县妇幼保健院妇产科,江苏沭阳223600

出　　处：《世界复合医学》2022年第8期32-35,39,共5页World Journal of Complex Medicine

摘　　要：目的探析足月妊娠孕妇接受宫颈球囊扩张器引产,对孕妇宫颈成熟、分娩及母婴结局的影响。方法选取江苏省宿迁市沭阳县妇幼保健院妇产科2019年11月—2021年11月收治的82例足月妊娠孕妇,依据数表法随机分成对照组、观察组,各41例。对照组接受单纯药物引产,观察组接受宫颈球囊扩张器引产,判断宫颈成熟效果有效性,记录孕妇产程与引产后临产时间,对比孕妇分娩方式选择情况及母婴结局。结果观察组宫颈成熟效果总有效率(97.56%)显著高于对照组,差异有统计学意义(χ^(2)=4.493,P<0.05);观察组孕妇第一、二、三、总产程及引产后临床产时间为(255.48±9.82)、(35.94±4.75)、(15.38±3.83)、(300.51±11.38)、(10.26±1.93)min,显著优于对照组,差异有统计学意义(P<0.05);观察组剖宫产率、阴道分娩率(7.32%、92.68%)优于对照组,差异有统计学意义(P<0.05);观察组发生产后出血、胎儿窘迫等母婴结局2例,发生率为4.88%,显著少于对照组,差异有统计学意义(P<0.05)。结论足月妊娠孕妇接受宫颈球囊扩张器引产,对宫颈成熟具有促进作用,有助于缩短孕妇产程,改善孕妇母婴结局。Objective To investigate the effect of cervical balloon dilator on the cervical ripening,delivery and maternal and infant outcomes of full-term pregnant women.Methods A total of 82 full-term pregnant women admitted to the Department of Obstetrics and Gynecology of Shuyang County Maternal and Child Health Hospital,Suqian City,Jiangsu Province from November 2019 to November 2021 were selected and randomly divided into control group and observation group according to the number table method,with 41 cases in each group.The control group received simple drug induction of labor,and the observation group received cervical balloon dilator to induce labor,the effectiveness of cervical ripening was judged,the labor process and labor time after labor induction were recorded,and the choice of delivery method and maternal and infant outcomes were compared.Results The total effective rate(97.56%)of the cervical ripening effect in the observation group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=4.493,P<0.05);the clinical labor time after induction of labor was(255.48±9.82)min,(35.94±4.75)min,(15.38±3.83)min,(300.51±11.38)min,(10.26±1.93)min,which was significantly better than that of the control group,the difference was statistically significant(P<0.05);the cesarean section rate and vaginal delivery rate in the observation group were 7.32%and 92.68%higher than those in the control group,and the difference was statistically significant(P<0.05);there were 2 cases of infant outcomes,the incidence rate was 4.88%,which was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Induction of labor by cervical balloon dilator for full-term pregnant women can promote cervical ripening,shorten the labor process,and improve maternal and infant outcomes.

关 键 词：足月妊娠 宫颈球囊扩张器 引产 宫颈成熟 分娩 母婴结局 

分 类 号：R71[医药卫生—妇产科学]