宫颈扩张球囊联合缩宫素对足月妊娠引产产妇的临床效果  

The Clinical Effect of Cervical Dilation Balloon Combined with Oxytocin on Term Pregnant Women Undergoing Labor Induction

作　　者：吴华芳 WU Huafang(Department of Obstetrics,Shunchang County Hospital,Nanping,Fujian 353200,China)

机构地区：[1]顺昌县医院产科,福建南平353200

出　　处：《中国医药指南》2025年第10期96-99,共4页Guide of China Medicine

摘　　要：目的以足月妊娠引产产妇作为观察对象,以宫颈扩张球囊联合缩宫素作为治疗方法,就观察对象采用上述治疗方法的临床效果进行分析。方法本文的观察对象为顺昌县医院于2021年1月至2023年12月收治的97例足月妊娠引产产妇,依据治疗方法的不同将所有研究对象分为两组,采用缩宫素治疗的产妇命名为对照组,该组的产妇例数为48例;采用宫颈扩张球囊联合缩宫素治疗的产妇命名为观察组,该组的产妇例数为49例。对比两组的宫颈成熟情况、产程时间、引产成功率、分娩前后的应激反应及不良母婴结局发生率。结果与对照组相比,Bishop评分观察组相对较高,临产开始时间、第一产程、第二产程观察组相对较短,引产成功率观察组相对较高(P<0.05);在分娩后谷氨酸、儿茶酚胺、皮质醇水平的比较上,观察组低于对照组(P<0.05);与对照组相比,不良母婴结局发生率观察组相对较低(P<0.05)。结论对于足月妊娠引产产妇而言,采用宫颈扩张球囊联合缩宫素治疗可获得较为理想的治疗效果,不仅可以有效促进其宫颈成熟,缩短产程时间,提高引产成功率,还可以减轻分娩后的应激反应,减少不良母婴结局的发生。Objective The clinical effects of the above treatment methods were analyzed in the observation subjects of induced labor of full-term pregnancy and the treatment methods of cervical dilation balloon combined with oxytocin.Methods The subjects of this study were 97 cases of induced labor of full-term pregnancy treated in Shunchang County Hospital from January 2021 to December 2023.All subjects were divided into two groups according to different treatment methods.The women treated with oxytocin were named as the control group,and there were 48 women in this group.The women treated with cervical dilation balloon combined with oxytocin were named the observation group,and the number of women in this group was 49.Cervical maturity,labor time,labor induction success rate,stress reaction before and after delivery and incidence of adverse maternal and infant outcomes were compared between the two groups.Results Compared with the control group,the Bishop score observation group was relatively higher,the start time of labor,thefirst stage of labor and the second stage of labor observation group was relatively shorter,and the success rate of labor induction observation group was relatively higher(P<0.05).The levels of glutamic acid,catecholamine and cortisol after delivery were lower in observation group than in control group(P<0.05).Compared with the control group,the incidence of adverse maternal and infant outcomes in the observation group was relatively lower(P<0.05).Conclusions For women with induced labor in full-term pregnancy,cervical dilation balloon combined with oxytocin treatment can achieve ideal therapeutic effects,which can not only effectively promote cervical maturity,shorten labor time,improve the success rate of induced labor,but also reduce the stress response after delivery and reduce the occurrence of adverse maternal and infant outcomes.

关 键 词：足月妊娠 引产 宫颈扩张球囊 缩宫素 宫颈成熟度 应激反应 

分 类 号：R714.21[医药卫生—妇产科学]