宫颈球囊联合催产素用于瘢痕子宫计划分娩效果分析  

Effect of Cervical Balloon Combined with Oxytocin for Planned Delivery in Puerperas with Scarred Uterus

作　　者：李刚[1] 李晓琼[1] 丁菊花 LI Gang;LI Xiaoqiong;DING Juhua(Department of Physiology and Obstetrics,Huai'an Maternal and Child Health Hospital,Huai'an,Jiangsu,China 223002)

机构地区：[1]江苏省淮安市妇幼保健院生理产科,江苏淮安223002

出　　处：《中国药业》2023年第S01期70-72,共3页China Pharmaceuticals

摘　　要：目的探讨宫颈球囊联合催产素用于瘢痕子宫计划分娩的临床效果。方法选取医院2020年6月至2021年6月收治的瘢痕子宫产妇100名,随机分为观察组和对照组,各50例。对照组产妇予静脉滴注催产素,观察组产妇予宫颈球囊联合催产素。结果观察组总有效率为96.00%,显著高于对照组的52.00(P<0.05)。观察组Bishop评分为(6.21±1.92)分,显著高于对照组的(4.92±1.90)分(P<0.05)。与对照组比较,观察组整体分娩率较低,剖宫产率较低,自然分娩率较高,剖宫产后的阴道分娩率较高,且助产率较低(P<0.05)。观察组催产时间和总产程显著短于对照组(P<0.05)。观察组产妇出血量显著少于对照组(P<0.05);两组产妇产后出血例数及感染率、新生儿结局等无显著差异(P>0.05)。结论宫颈球囊与催产素用于瘢痕子宫分娩过程中,能使宫颈逐渐成熟,缩短引产时间和总产程。Objective To investigate the clinical effect of cervical balloon combined with oxytocin for planned delivery in puerperas with scarred uterus.Methods A total of 100 puerperas with scarred uterus admitted to the hospital from June 2020 to June 2021 were selected and randomly divided into the observation group and control group,with 50 cases in each group.In the control group,oxytocin was administered intravenously,and in the observation group,cervical balloon combined with oxytocin was applied.Results The total effective rate in the observation group was 96.00%,which was significantly higher than 52.00%in the control group(P<0.05).The Bishop score in the observation group was(6.21±1.92)points,which was significantly higher than(4.92±1.90)points in the control group(P<0.05).Compared with those in the control group,the overall delivery rate and cesarean section rate in the observation group were lower,while the spontaneous delivery rate,vaginal delivery rate after cesarean section were higher,and the assisted delivery rate was lower(P<0.05).The duration of delivery induction and total duration of delivery in the observation group was significantly shorter than that in the control group(P<0.05).The amount of maternal hemorrhage in the observation group was significantly less than that in the control group(P<0.05).There was no significant difference in the cases of postpartum hemorrhage,infection rate or neonatal outcome between the two groups(P>0.05).Conclusion The use of cervical balloon combined with oxytocin for planned delivery in puerperas with scarred uterus can gradually ripen the cervix and shorten the induction time and total delivery duration.

关 键 词：宫颈球囊 催产素 瘢痕子宫分娩 宫颈成熟 

分 类 号：R969.4[医药卫生—药理学] R984[医药卫生—药学]