宫颈球囊联合缩宫素对引产凝血指标、阴道分娩率、促宫颈成熟效果的影响  

Effect of Cervical Balloon Combined with Oxytocin on Coagulation Index,Vaginal Delivery Rate and Cervical Ripening Effect of Induced Labor

作　　者：刘丽萍 LIU Liping(Department of Obstetrics and Gynecology,Huichang County Maternal and Child Health Hospital,Huichang 342600,Jiangxi,China)

机构地区：[1]会昌县妇幼保健院妇产科,江西会昌342600

出　　处：《医学信息》2024年第23期66-69,共4页Journal of Medical Information

摘　　要：目的探究宫颈球囊联合缩宫素在引产中的应用效果。方法依照随机数字表法将2021年6月-2023年6月会昌县妇幼保健院拟行引产干预的60例孕妇分为对照组(30例)与观察组(30例),其中对照组选择缩宫素引产方案,观察组在其基础上联合应用宫颈球囊,比较两组Bishop宫颈成熟度评分、促宫颈成熟效果、凝血指标[血小板计数(PLT)、纤维蛋白原(Fib)]、产程时间、阴道分娩率、产后出血量。结果观察组引产后Bishop宫颈成熟度评分高于对照组(P<0.05);与对照组比较,观察组促宫颈成熟总有效率更高(P<0.05);观察组引产后PLT、Fib指标高于对照组(P<0.05);与对照组比较,观察组产程时间更短、产后出血量更少、阴道分娩率更高(P<0.05)。结论宫颈球囊联合缩宫素可加速宫颈成熟,提升促宫颈成熟效果,改善孕妇凝血指标,缩短产程,提高阴道分娩率,减少产后出血。Objective To explore the application effect of cervical balloon combined with oxytocin in induction of labor.Methods Using the random number table method,60 pregnant women who planned to undergo induced labor intervention in Huichang County Maternal and Child Health Hospital from June 2021 to June 2023 were divided into control group(30 women)and observation group(30 women).While,pregnant women in the control group were selected oxytocin induction program,and pregnant women in the observation group were selected cervical balloon on the basis of the control group.Bishop cervical maturity score,cervical ripening effect,coagulation index[platelet count(PLT),fibrinogen(Fib)],labor time,vaginal delivery rate,postpartum hemorrhage were compared between the two groups.Results The Bishop cervical maturity score at 6 and 10 h after induction of labor in the observation group was higher than that in the control group(P<0.05).Compared with the control group,the total effective rate of cervical ripening in the observation group was higher(P<0.05).The indexes of PLT and Fib in the observation group after induction of labor were higher than those in the control group(P<0.05).Compared with the control group,the observation group had shorter labor time,less postpartum hemorrhage,and higher vaginal delivery rate(P<0.05).Conclusion Cervical balloon combined with oxytocin can accelerate cervical ripening,improve the effect of promoting cervical ripening,improve the coagulation index of pregnant women,shorten the labor process,improve the rate of vaginal delivery,and reduce postpartum hemorrhage.

关 键 词：引产 缩宫素 宫颈球囊 凝血指标 阴道分娩率 促宫颈成熟 

分 类 号：R719.3[医药卫生—妇产科学]