足月妊娠引产中低温与常温低位小水囊促宫颈成熟的作用比较  

Comparison of the effect of low temperature and low water sac on cervical maturation during labor induction in full-term pregnancy

作　　者：罗晓宇 周曙光 郭橄榄 LUO Xiao-yu;ZHOU Shu-guang;GUO Gan-lan(Department of Obstetrics and Gynecology,Anhui Maternal and Child Health Hospital,Hefei Anhui 230032,China.)

机构地区：[1]安徽省妇幼保健院妇产科,安徽合肥230032

出　　处：《临床和实验医学杂志》2023年第19期2073-2077,共5页Journal of Clinical and Experimental Medicine

基　　金：安徽省重点研究与开发计划(编号:202204295107020048)。

摘　　要：目的观察足月妊娠引产中低温与常温低位小水囊(子宫颈扩张球囊,即COOK球囊)促宫颈成熟的作用。方法回顾性分析2022年10月至2023年1月期间在安徽省妇幼保健院接受足月妊娠引产的60例产妇的临床资料,按产妇自选的不同引产方案分为观察组和对照组,各30例。观察组予以低温低位子宫颈扩张球囊,对照组予以常温低位子宫颈扩张球囊。比较两组患者的引产效果、促宫颈成熟效果(出现规律宫缩时间、放囊至脱囊时间、放囊后宫颈Bishop评分)、分娩结局(分娩方式、分娩时间、产后2 h出血量、新生儿Apgar评分)和放置球囊后异常情况。结果观察组患者的引产总有效率为93.33%,明显高于对照组(80.00%),差异有统计学意义(P<0.05)。观察组患者出现规律宫缩时间、放囊至脱囊时间分别为(3.81±0.85)、(6.11±1.32)h,均明显短于对照组[(5.93±0.89)、(8.92±1.43)h],差异均有统计学意义(P<0.05)。两组患者放囊后宫颈Bishop评分比较,差异无统计学意义(P>0.05)。观察组患者的引产至临产时间、总产程分别为(11.36±3.72)、(8.05±2.28)h,均明显短于对照组[(17.52±3.08)、(11.78±2.71)h],差异均有统计学意义(P<0.05)。两组患者的剖宫产率、产后2 h出血量及新生儿Apgar评分比较,差异均无统计学意义(P>0.05)。观察组与对照组放置球囊不良结局率分别为6.67%、10.00%,两组比较差异无统计学意义(P>0.05)。结论相较于常温低位子宫颈扩张球囊方式,在足月妊娠引产中应用低温低位子宫颈扩张球囊方式能进一步促宫颈成熟,有助于提高引产效果,并可缩短临产时间和总产程,且应用安全可靠。Objective To observe the effect of low temperature and low low water capsule(cervical dilatation balloon,namely COOK balloon)on cervical maturation during labor induction in full-term pregnancy.Methods Retrospective analysis was performed on the clinical data of 60 parturients who received labor induction during full-term pregnancy in Anhui Maternal and Child Health Hospital from October 2022 to January 2023,and the patients were divided into two groups,with 30 cases in each group,according to different labor induction plans chosen by the parturients.The observation group was given low-temperature and low-temperature cervical dilatation balloon,while the control group was given low-temperature and low-temperature cervical dilatation balloon.The effects of labor induction,cervical ripening,labor outcome and adverse outcome were compared between the two groups.Results The total effective rate of induced labor in the observation group was 93.33%,which was significantly higher than that in the control group(80.00%),and the difference was statistically significant(P<0.05).The time of regular uterine contraction and the time from releasing capsule to releasing capsule in the observation group were(3.81±0.85),(6.11±1.32)h,which were significantly shorter than those in the control group[(5.93±0.89)and(8.92±1.43)h],the differences were statistically significant(P<0.05).There was no statistically significant difference in Bishop score between the two groups(P>0.05).The time from induced labor to labor and the total labor process in the observation group were(11.36±3.72),(8.05±2.28)h,which were significantly shorter than those in the control group[(17.52±3.08)and(11.78±2.71)h],the differences were statistically significant(P<0.05).There was no statistically significant difference between the two groups in cesarean section rate,postpartum hemorrhage and neonatal Apgar score(P>0.05).The adverse outcome rates of balloon placement in the observation group and the control group were 6.67%and 10.00%,respectively,with no s

关 键 词：足月妊娠引产 低温低位子宫颈扩张球囊 常温低位子宫颈扩张球囊 促宫颈成熟 

分 类 号：R719.3[医药卫生—妇产科学]