缩宫素联合宫颈扩张球囊用于低宫颈评分足月妊娠引产效果观察  

Effect of induced labor by oxytocin combined with cervical dilatation balloon for treating full-term pregnant women with low cervical score

作　　者：朱琴 王芳芳 阮国海 ZHU Qin;WANG Fangfang;RUAN Guohai(Haining Central Hospital,Haining,Zhejiang Province,314408)

机构地区：[1]浙江省海宁市中心医院,314408

出　　处：《中国计划生育学杂志》2022年第10期2276-2279,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨缩宫素联合宫颈扩张球囊对低宫颈评分(宫颈Bishop评分≤6分)足月妊娠的引产效果.方法:选取本院2020年1月-2021年12月入院有引产指证的足月妊娠产妇104例,根据引产方式分组,其中对照组(52例)采用静脉滴注缩宫素引产,观察组(52例)给予缩宫素联合扩张球囊引产.对比两组产妇的Bishop评分、诱发临产时间、总产程、产后出血量、宫颈扩张速度、引产成功率、阴道分娩率和母婴不良结局.结果:观察组促宫颈成熟总有效率(96.2%)高于对照组(82.7%),引产后诱发临产时间、总产程和产后出血量小于对照组,引产成功率(90.4%)和阴道分娩率(88.5%)高于对照组(73.1%、67.3%),母婴不良结局发生率(11.5%)小于对照组(26.9%)(均P<0.05).结论:对低宫颈评分的足月妊娠产妇应用缩宫素联合宫颈扩张球囊引产,可更好地促进宫颈成熟、提高引产成功率,安全性好,母婴不良结局发生风险降低.Objective: To investigate the effect of induced labor by oxytocin combined with cervical dilatation balloon for treating full-term pregnant women with low cervical score(Bishop score≤6). Methods: 104 pregnant women with indications of induced labor were selected and were randomly divided into two groups according to the mode of induced labor from January 2020 to December 2021. 52 women in the control group were induced by intravenous oxytocin, while 52 women in the study group were induced by oxytocin combined with balloon dilatation. The Bishop score, the induced labor time, the total labor process duration, the amount of postpartum hemorrhage, the cervical dilatation velocity, the success rate of induced labor, the vaginal delivery rate, and the rate of adverse outcomes of mother and infant were compared between the two groups. Results: The total effective rate of cervical maturation improved(96.2%) of the women in the study group was significantly higher than that(82.7%) of the women in the control group. The induced labor time, the total labor duration, and the postpartum blood loss of the women in the study group were significantly lower than those of the women in the control group. The success rate of labor induction(90.4%) and the vaginal delivery rate(88.5%) of the women in the study group were significantly higher than those(73.1% and 67.3%) of the women in the control group. The incidence of adverse maternal and infant outcomes(11.5%) of the women in the study group was significantly lower than that(26.9%) of the women in the control group(all P<0.05). Conclusion: The application of oxytocin combined with cervical dilatation balloon for induction of labor of full-term pregnant women with low cervical score can promote their cervical maturity, improve their success rate of induction of labor with good safety, and which also can reduce the risk of adverse maternal and infant outcomes.

关 键 词：足月妊娠 引产 低宫颈评分 缩宫素 扩张球囊 

分 类 号：R719.3[医药卫生—妇产科学]