分娩球联合COOK球囊促宫颈成熟干预对足月引产产妇的效果  

Effect of Birthing Ball Combined with Cook Balloon for Cervical Maturation Intervention on Women with Term Induced Labor

作　　者：丁文洁 DING Wenjie(Wuxi People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市人民医院,江苏无锡214000

出　　处：《中外医学研究》2024年第27期152-156,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨足月引产产妇予以分娩球联合COOK球囊促宫颈成熟干预的效果。方法:选取2021年12月—2023年12月无锡市人民医院收治的132例足月引产产妇作为研究对象,按随机数表法分为对照组和观察组,每组各66例。对照组给予COOK球囊促宫颈成熟干预,观察组给予分娩球+COOK球囊促宫颈成熟干预。观察两组宫颈成熟度、分娩疼痛、心理状况、分娩方式、产程时间以及分娩结局等指标水平变化情况。结果:干预后,观察组Bishop量表中的宫口开大、宫颈管消退、先露位置、宫颈硬度以及宫口位置等评分均高于对照组,差异有统计学意义(P<0.05);观察组视觉模拟评分法(VAS)、抑郁自评量表(SDS)与焦虑自评量表(SAS)等评分均低于对照组,差异有统计学意义(P<0.05);观察组自然分娩率以及3个产程耗时均优于对照组,差异有统计学意义(P<0.05);观察组产后出血、产褥期感染、产后尿潴留以及新生儿窒息发生率以及新生儿Apgar评分均优于对照组,差异有统计学意义(P<0.05)。结论:足月引产产妇分娩中实施分娩球联合COOK球囊促宫颈成熟干预,可明显改善产妇负性情绪,并可有效缓解产妇疼痛度,促进宫颈成熟度,还可缩短产程时间,提高自然分娩成功率,改善分娩结局。Objective:To investigate the effect of the intervention of labor ball combined with COOK balloon to promote cervical maturation in women with full term induced labor.Method:A total of 132 term induced parturients admitted to the Wuxi People's Hospital from December 2001 to December 2004 were randomly divided into a control group and an observation group,with 66 cases in each group.The cases of control group were treated with the intervention of COOK balloon to promote cervical maturation,and the cases of observation group were given the intervention of childbirth ball and COOK balloon to promote cervical maturation.The indexes of cervical maturity,labor pain,psychological status,labor mode,labor duration and labor outcome of the two groups were observed.Result:After intervention,the scores of uterine opening,cervical tube regression,location of first presentation,cervical hardness and uterine opening in the observation group were higher than those in the control group,with statistical significance(P<0.05).The scores of Visual Analogue Scale(VAS),Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The natural delivery rate and three labor stages in the observation group were better than those in the control group,the difference was statistically significant(P<0.05).The incidence of postpartum hemorrhage,puerperal infection,postpartum urinary retention,neonatal asphyxia and neonatal Apgar score in the observation group were better than those in the control group,with statistical significance(P<0.05).Conclusion:The intervention of labor ball combined with COOK balloon to promote cervical maturity can significantly improve maternal negative emotions,effectively relieve maternal pain,promote cervical maturity,shorten labor time,improve the success rate of natural labor,and improve the outcome of labor.

关 键 词：足月引产 产妇 分娩球 COOK球囊 BISHOP评分 

分 类 号：R719.3[医药卫生—妇产科学]