宫颈扩张球囊促进足月妊娠初产妇宫颈成熟的效果观察  

Effect of cervical ripening balloon in promoting cervical ripening of primiparas with full-term pregnancy

作　　者：柏静 Bai Jing(Department of Obstetrics,Sihong County First People’s Hospital of Jiangsu Province,Suqian 223900,China)

机构地区：[1]江苏省泗洪县第一人民医院产科,江苏宿迁223900

出　　处：《实用妇科内分泌电子杂志》2021年第23期42-44,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨宫颈扩张球囊促进足月妊娠初产妇宫颈成熟的临床效果。方法选取2020年2月至2021年2月泗洪县第一人民医院60例足月妊娠初产妇为研究对象,采用奇偶数字法将其分为对照组和研究组,每组30例。对照组采用催产素治疗,研究组采用宫颈扩张球囊治疗。比较两组Bishop宫颈成熟度评分、促宫颈成熟率、总产程时间、住院时间、产后出血量、自然分娩率、剖宫产率。结果治疗前,对照组Bishop宫颈成熟度评分为(2.95±0.61)分,研究组为(2.92±0.64)分,差异无统计学意义(t=0.19,P=0.85);治疗后,对照组Bishop宫颈成熟度评分为(4.43±1.18)分,研究组为(6.75±1.29)分,差异有统计学意义(t=7.27,P=0.01)。研究组促宫颈成熟率为86.67%(26/30),高于对照组的60.00%(18/30),差异有统计学意义(χ^(2)=5.45,P=0.02)。研究组总产程时间、住院时间依次为(6.53±2.89)h、(4.19±1.15)d,短于对照组的(9.58±3.71)h、(7.33±1.56)d,差异有统计学意义(P<0.05);研究组产后出血量为(351.97±51.34)ml,少于对照组的(375.44±52.68)ml,差异无统计学意义(P>0.05)。对照组、研究组自然分娩率分别为53.33%(16/30)、80.00%(24/30),剖宫产率分别为46.67%(14/30)、20.00%(6/30)。研究组自然分娩率高于对照组,剖宫产率低于对照组,差异有统计学意义(P<0.05)。结论宫颈扩张球囊促进足月妊娠初产妇宫颈成熟的效果确切,其不仅能缩短产程时间、住院时间,有效促进宫颈成熟,还能增强初产妇的分娩信心,提高自然分娩成功率,降低剖宫产率。Objective To explore the clinical effect of cervical ripening balloon in promoting cervical maturity of primiparas with full-term pregnancy.Methods A total of 60 primiparas with full-term pregnancy from February 2020 to February 2021 in Sihong County First People’s Hospital were selected as the research objects,and they were divided into control group and study group by odd-even number method,with 30 cases in each group.The control group was treated with oxytocin,and the study group was treated with cervical ripening balloon.The Bishop cervical maturity score,promoted cervical maturity rate,total duration of labor,hospital stay,amount of postpartum hemorrhage,natural delivery rate and cesarean section rate were compared between the two groups.Results Before treatment,the Bishop cervical maturity score was(2.95±0.61)in the control group and(2.92±0.64)in the study group,and there was no significant difference between two groups(t=0.19,P=0.85);after treatment,the Bishop cervical maturity score was(4.43±1.18)in the control group and(6.75±1.29)in the study group,and there was a significant difference between two groups(t=7.27,P=0.01).The promoted cervical maturity rate in the study group was 86.67%(26/30),which was significantly higher than 60.00%(18/30)in the control group(χ^(2)=5.45,P=0.02).The total duration of labor and hospital stay in the study group were(6.53±2.89)h and(4.19±1.15)d,which were significantly shorter than(9.58±3.71)h and(7.33±1.56)d in the control group(P<0.05);the amount of postpartum hemorrhage in the study group was(351.97±51.34)ml,which was less than(375.44±52.68)ml in the control group,but there was no significant difference between two groups(P>0.05).The natural delivery rates in the control group and the study group were 53.33%(16/30)and 80.00%(24/30)respectively,and the cesarean section rates were 46.67%(14/30)and 20.00%(6/30)respectively.The natural delivery rate in the study group was significantly higher than that in the control group,and the cesarean section rate was signi

关 键 词：足月妊娠初产妇 宫颈成熟率 分娩方式 宫颈扩张球囊 效果 

分 类 号：R715.7[医药卫生—妇产科学]