宫颈扩张球囊联合催产素引产对于宫颈时机不成熟产妇自然分娩的影响评价  

Evaluation of the Effect of Cervical Dilatation Balloon Combined with Oxytocin Inductionon Natural Delivery of Pregnant Women with Immature Cervix

作　　者：梅六妹 MEI Liu-mei(Obstetrics and Gynecology Department of Surgery Building,Xunwu County People's Hospital,Xunwu 342200,Jiangxi,China)

机构地区：[1]寻乌县人民医院外科楼妇产科,江西寻乌342200

出　　处：《医学信息》2024年第18期92-95,共4页Journal of Medical Information

基　　金：江西省赣州市指导性科技计划项目(编号:20203DXNS4015)。

摘　　要：目的观察宫颈扩张球囊联合催产素引产对于宫颈时机不成熟产妇自然分娩的影响。方法选取2023年1月-10月寻乌县人民医院收治的60例宫颈时机不成熟足月妊娠产妇作为研究对象,采用随机数字表法分为对照组与研究组,各30例。对照组单独给予催产素引产,研究组给予宫颈扩张球囊联合催产素引产。比较两组治疗效果、产程、宫颈评分、引产指标(诱发临产时间、胎儿娩出时间、产后24 h出血量)、新生儿情况(Apgar评分、新生儿出生体重)、并发症发生情况。结果研究组治疗总有效率高于对照组(P<0.05);研究组第一产程、第二产程、总产程均短于对照组,且研究组宫颈评分高于对照组(P<0.05);研究组诱发临产时间、胎儿娩出时间、产后24 h出血量均低于对照组(P<0.05);研究组Apgar评分、新生儿出生体重均高于对照组(P<0.05);研究组并发症发生率低于对照组(P<0.05)。结论宫颈扩张球囊联合催产素引产能够缩短宫颈时机不成熟产妇自然分娩的产程,提高引产效果和宫颈成熟度,改善母婴结局,降低并发症发生率,安全性高。Objective To observe the effect of cervical dilatation balloon combined with oxytocin induction on natural delivery of pregnant women with immature cervix.Methods A total of 60 full-term pregnant women with immature cervical timing admitted to Xunwu County People's Hospital from January to October 2023 were selected as the research objects.They were divided into control group and study group by random number table method,with 30 pregnant women in each group.The control group was given oxytocin to induce labor alone,and the study group was given cervical dilatation balloon combined with oxytocin to induce labor.The treatment effect,labor process,cervical score,induced labor index(induced labor time,fetal delivery time,postpartum 24 h bleeding volume),neonatal condition(Apgar score,neonatal birth weight)and complications were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).The first stage of labor,the second stage of labor and the total stage of labor in the study group were shorter than those in the control group,and the cervical score in the study group was higher than that in the control group(P<0.05).The induced labor time,fetal delivery time and postpartum 24 h bleeding volume in the study group were lower than those in the control group(P<0.05).The Apgar score and neonatal birth weight of the study group were higher than those of the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion Cervical dilatation balloon combined with oxytocin induction can shorten the labor process of natural delivery of pregnant women with immature cervical timing,improve the effect of induction of labor and cervical maturity,improve maternal and infant outcomes,reduce the incidence of complications,and have high safety.

关 键 词：宫颈扩张球囊 催产素 宫颈时机不成熟 产妇 自然分娩 

分 类 号：R714[医药卫生—妇产科学]