子宫颈扩张球囊导管联合缩宫素用于过期妊娠引产的临床价值  

Clinical value of cervical dilated balloon catheter combined with oxytocin in inducing labor of expired pregnancy

作　　者：韦兰艳 Wei Lanyan(Department of Obstetrics and Gynecology,Mashan Maternal and Child Health Hospital,Nanning 530699,China)

机构地区：[1]马山县妇幼保健院妇产科,广西南宁530699

出　　处：《实用妇科内分泌电子杂志》2023年第5期24-26,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究子宫颈扩张球囊导管联合缩宫素治疗过期妊娠引产的临床效果。方法选取60名过期妊娠引产孕妇,根据随机数字表法分为对照组与研究组,每组30名。对照组产妇使用缩宫素,研究组产妇使用子宫颈扩张球囊导管促宫颈成熟。比较两组的临床效果。结果研究组引产总有效率为96.7%,显著高于对照组的66.7%,差异有统计学意义(P<0.05)。研究组阴道分娩率高于对照组,差异有统计学意义(P<0.05)。研究组置水囊或用药至临产时间、第一产程时间短于对照组,产后出血量少于对照组,差异有统计学意义(P<0.05)。引产后,研究组宫颈Bishop评分高于对照组,差异具有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论过期妊娠引产孕妇通过子宫颈扩张球囊导管联合缩宫素治疗,临床效果优良,值得临床推广。Objective To study the clinical effect of cervical dilated balloon catheter combined with oxytocin in the treatment of overdue pregnancy induced labor.Methods 60 pregnant women with expired pregnancy induced labor were selected and divided into control group and study group according to random number table method,with 30 in each group.Women in the control group were given oxytocin,and women in the study group were given cervical dilatation balloon catheter to promote cervical maturation.The clinical effects of the two groups were compared.Results The total effective rate of labor induction in the study group was 96.7%,significantly higher than that in the control group(66.7%),and the difference was statistically significant(P<0.05).The vaginal delivery rate in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The time from water sac or medication to labor and thefirst stage of labor in the study group was shorter than that in the control group,and the postpartum blood loss was less than that in the control group,the difference was statistically significant(P<0.05).After labor induction,the cervical Bishop score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Pregnant women with overdue pregnancy induced labor through cervical dilation balloon catheter combined with oxytocin treatment,the clinical effect is good,worthy of clinical promotion.

关 键 词：子宫颈扩张球囊导管 缩宫素 过期妊娠引产 临床效果 

分 类 号：R719.3[医药卫生—妇产科学]