摘要
目的分析足月妊娠计划分娩引产中应用一次性子宫颈扩张球囊导管对宫颈成熟和妊娠结局的影响。方法 80例足月妊娠计划分娩引产产妇,依据引产具体方式的不同分为球囊组和缩宫素组,各40例。缩宫素组选择缩宫素进行引产,球囊组选择一次性子宫颈扩张球囊导管引产,比较两组宫颈成熟情况和不良妊娠结局。结果球囊组宫颈显著成熟23例(57.50%)、一般成熟15例(37.50%)、未成熟2例(5.00%),宫颈总成熟度为95.00%(38/40);缩宫素组宫颈显著成熟18例(45.00%)、一般成熟13例(32.50%)、未成熟9例(22.50%),宫颈总成熟度为77.50%(31/40);球囊组宫颈总成熟度明显高于缩宫素组,差异具有统计学意义(P<0.05)。球囊组产妇引产后发生剖宫产2例(5.00%)、新生儿窒息1例(2.50%)、胎儿宫内窘迫0例,不良妊娠结局发生率为7.50%(3/40);缩宫素组产妇引产后发生剖宫产4例(10.00%)、新生儿窒息3例(7.50%)、胎儿宫内窘迫3例(7.50%),不良妊娠结局发生率为25.00%(10/40);球囊组产妇引产后不良妊娠结局发生率低于缩宫素组,差异具有统计学意义(P<0.05)。结论足月妊娠计划分娩引产中应用一次性子宫颈扩张球囊导管能够促进宫颈成熟,改善妊娠结局,可推广使用。
Objective To analyze the effect of disposable cervical dilatation balloon catheter on cervical maturation and pregnancy outcome in full-term pregnancy induced labor. Methods A total of 80 full-term pregnancy women with planned delivery induced labor were divided by different methods of induced labor in balloon group and oxytocin group, with 40 cases in each group. Oxytocin group received oxytocin to induce labor,and balloon group received disposable cervical dilatation balloon catheter to induce labor. The cervical maturity and adverse pregnancy outcomes were compared between the two groups. Results Balloon group had 23 cases(57.50%) of significantly mature, 15 cases(37.50%) of general mature, and 2 cases(5.00%) of immature, with total cervical maturity as 95.00%(38/40), while oxytocin group had 18 cases(45.00%) of significantly mature, 13 cases(32.50%) of general mature, and 9 cases(22.50%) of immature, with total cervical maturity as 77.50%(31/40). Balloon group had obviously higher total cervical maturity than oxytocin group, and the difference was statistically significant(P<0.05). In balloon group, cesarean section occurred in 2 cases(5.00%), neonatal asphyxia in 1 case(2.50%) and fetal distress in 0 case, with incidence of adverse pregnancy outcomes as 7.50%(3/40). In oxytocin group, cesarean section occurred in 4 cases(10.00%), neonatal asphyxia in 3 cases(7.50%) and fetal distress in 3 cases(7.50%), with incidence of adverse pregnancy outcomes as 25.00%(10/40). Balloon group had lower incidence of incidence of adverse pregnancy outcomes than oxytocin group, and the difference was statistically significant(P<0.05). Conclusion The application of disposable cervical dilatation balloon catheter in full-term pregnancy induced labor can promote cervical maturation and improve pregnancy outcomes, and this method can be widely used.
作者
高玉兰
孙敬
杜梅林
GAO Yu-lan;SUN Jing;DU Mei-linAnhui Suzhou First People’sHospital
出处
《中国现代药物应用》
2019年第8期10-12,共3页
Chinese Journal of Modern Drug Application
关键词
足月妊娠
计划分娩
引产
一次性子宫颈扩张球囊导管
宫颈成熟
妊娠结局
Full-term pregnancy
Planned delivery
Induced labor
Disposable cervical dilatation balloon catheter
Cervical maturation
Pregnancy outcome
