水囊引产联合缩宫素干预对足月羊水偏少孕妇的影响  

Effect of Water Sac Induction Combined with Oxytocin Intervention on Full-Term Pregnant Women with Oligohydramnios

作　　者：代宏 DAI Hong(Department of Obstetrics and Gynecology,The Second Affiliated Hospital of Nanjing Medical University Maigaoqiao Campus,Nanjing,Jiangsu,210028,China)

机构地区：[1]南京医科大学第二附属医院迈皋桥院区妇产科,江苏南京210028

出　　处：《中外医疗》2024年第28期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的探究水囊引产联合缩宫素干预对足月羊水偏少孕妇的影响。方法方便选取2023年1—12月南京医科大学第二附属医院迈皋桥院区收治的96例足月羊水偏少孕妇为研究对象,根据不同干预方法分为对照组(n=48)、研究组(n=48)。对照组静脉滴注缩宫素,研究组在对照组基础上使用一次性子宫颈扩张球囊。对比两组分娩方式、引产至临产时间、宫颈成熟度。结果研究组自然分娩率为77.08%(37/48),高于对照组的56.25%(27/48),差异有统计学意义(χ^(2)=4.688,P=0.030)。研究组引产至临产时间短于对照组,差异有统计学意义(P<0.05)。干预前,两组Bishop评分对比,差异无统计学意义(P>0.05);干预后,研究组Bishop评分高于对照组,差异有统计学意义(P<0.05)。结论水囊引产联合缩宫素干预是一种有效助产手段,适用于足月羊水偏少孕妇,能够提高自然分娩率,缩短引产至临产时间,改善宫颈成熟度。Objective To explore the effect of water sac induction combined with oxytocin intervention on full-term pregnant women with oligohydramnios.Methods From January to December 2023,96 full-term pregnant women with oligohydramnios admitted to the Second Affiliated Hospital of Nanjing Medical University Maigaoqiao Campus were conveniently selected as the research objects.According to different intervention methods,they were divided into control group(n=48)and study group(n=48).The control group was treated with intravenous infusion of oxytocin,and the study group was treated with disposable cervical dilatation balloon on the basis of the control group.The delivery mode,labor induction to labor time and cervical maturity were compared between the two groups.Results The natural delivery rate of the study group was 77.08%(37/48),which was higher than 56.25%(27/48)of the control group,and the difference was statistically significant(χ^(2)=4.688,P=0.030).The time from induction of labor to labor in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in Bishop score between the two groups(P>0.05).After intervention,the Bishop score of study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Water sac induction combined with oxytocin intervention is an effective midwifery method,which is suitable for full-term pregnant women with oligohydramnios.It can improve the natural delivery rate,shorten the time from induction to labor,and improve cervical maturity.

关 键 词：水囊引产 缩宫素 足月 羊水偏少 引产至临产时间 宫颈成熟度 自然分娩 

分 类 号：R71[医药卫生—妇产科学]