探讨宫颈球囊放置后联合人工破膜对晚期妊娠产妇分娩产程的影响  

To Investigate the Effect of Cervical Balloon Placement Combined with Artificial Rupture on the Labor Process of Late Pregnancy

作　　者：乐永青 徐婷 张开 吴花梅 王胜华 LE Yongqing;XU Ting;ZHANG Kai;WU Huamei;WANG Shenghua(Department of Obstetrics and Gynecology,Dongxiang District People's Hospital,Fuzhou City,Jiangxi,Fuzhou 331800,China)

机构地区：[1]江西抚州市东乡区人民医院妇产科,抚州331800

出　　处：《中国医药指南》2024年第31期8-11,共4页Guide of China Medicine

基　　金：2022年第二批指导性科技计划项目(抚科社字[2022]9号第86项)。

摘　　要：目的探讨宫颈球囊放置后联合人工破膜对晚期妊娠产妇分娩产程的影响。方法选取2022年9月至2023年2月于江西抚州市东乡区人民医院妇产科就诊的晚期妊娠患者共60例,按照收治顺序分为对照组和观察组,每组各30例。对照组在西医规范化治疗的基础上加用球囊宫颈扩张器配合缩宫素静脉滴注引产;观察组在对照组用药基础上,加用人工破膜。记录两组引产成功率、宫颈成熟度、产程出血及产后出血情况、产程时间以及新生儿情况。结果观察组引产成功率无差异(P>0.05);宫颈成熟度方面,两组置入球囊后均提高,且观察组更高(P<0.05),两组球囊脱落时间无差异(P>0.05);观察组的总产程比对照组短(P<0.05);产程出血及产后出血方面,两组相比均无差异(均P>0.05)新生儿体重和出生后1 min Apgar评分两组比较无差异(P>0.05)。结论本研究证实宫颈球囊放置后联合人工破膜有利于缩短产程时间,提高宫颈Bishop评分,减少产中及产后出血,总体催产效果良好。Objective To investigate the effect of cervical balloon placement combined with artificial rupture on the labor process of late pregnancy.Methods A total of 60 late pregnancy patients from the Obstetrics Department of Dongxiang District People's Hospital in Fuzhou,Jiangxi,from September 2022 to February 2023 were divided into control(30)and observation(30)groups.Control group received balloon cervical dilation and hysteronin injection.Observation group had artificial membrane rupture added.Delivery mode,labor success,cervical ripening,bleeding,duration,and newborn weight/Apgar score were recorded.Results There was no difference in the success rate of labor induction in observation group(P>0.05).In terms of cervical maturity,both groups were improved after balloon implantation,and the observation group was higher(P<0.05).There was no difference in the time of balloon shedding between the two groups(P>0.05).The total labor in the observation group was shorter than that in the control group(P>0.05).There were no differences between the two groups in terms of postpartum hemorrhage and postpartum hemorrhage(all P>0.05).There were no differences in neonatal weight and Apgar score 1 min after birth between the two groups(P>0.05).Conclusions This study confirmed that cervical balloon placement combined with artificial membrane rupture can shorten labor time,improve cervical Bishop score,reduce intrapartum and postpartum hemorrhage,and the overall oxytocin effect is good.

关 键 词：宫颈球囊 人工破膜 晚期妊娠 产妇 分娩产程 

分 类 号：R714.12[医药卫生—妇产科学]