妊娠晚期应用子宫颈扩张球囊引产效果(1)
【摘要】 目的：比较子宫颈扩张球囊与缩宫素在妊娠晚期促宫颈成熟及引产的效果。方法：选取2018年4月-2019年4月笔者所在医院接收的采用静脉滴注缩宫素引产的足月妊娠孕妇200例作为对照组，选取同期笔者所在医院接收的使用子宫颈扩张球囊引产的足月妊娠孕妇200例作为观察组，比较两组总产程、阴道分娩率、剖宫产率、新生儿5 min Apgar评分、产后出血率及患者满意度。结果：观察组总产程短于对照组，差异有统计学意义(P<0.05)。观察组阴道分娩率、新生儿5 min Apgar评分、满意度均高于对照组，差异均有统计学意义(P<0.05)。观察组剖宫产率、产后出血率均低于对照组，差异均有统计学意义(P<0.05)。结论：宫颈扩张球囊应用于足月妊娠促宫颈成熟的引产效果优于单纯应用静滴缩宫素，具有成功率高、并发症少、患者满意度高等优势。
【关键词】 子宫颈扩张球囊 引产 缩宫素
[Abstract] Objective： To compare the effect of cervical dilatation balloon in promoting cervical maturation and induced labor in late pregnancy. Method： A total of 200 full-term pregnant women who received cervical dilatation balloon induction in our hospital from April 2018 to April 2019 were selected as the observation group， and 200 pregnant women who received intravenous oxytocin induction in our hospital during the same period were selected as the control group. The total course of labor， vaginal delivery rate， cesarean section rate， and neonatal 5 min Apgar score， postpartum hemorrhage rate， patient satisfaction were compared between the two groups. Result： The total labor process in the observation group was shorter than that in the control group， the difference was statistically significant (P<0.05). The vaginal delivery rate， neonatal 5 min Apgar score， and patient satisfaction in the observation group were significantly higher than those in the control group， the differences were statistically significant (P<0.05). The rate of cesarean section and postpartum hemorrhage in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion： The induction effect of cervical dilatation balloon in promoting cervical maturation during term pregnancy is better than that of intravenous infusion of oxytocin alone， with a high success rate， less complications and high patient satisfaction.
隨着国家计划生育政策转变，二胎产妇、高龄产妇、高危产妇等所占比逐年增加，对如何降低剖宫产率、提高阴道分娩率的重视程度越来越高，促进孕产妇自然分娩也是产科工作者一直努力的方向。对于符合引产指征的孕妇，引产术作为产科主要促进自然分娩的干预措施之一，在临床广泛使用。在临产前采用药物、机械等方式、方法促进产程的发动，从而促使胎儿阴道分娩，实现顺利分娩，可降低剖宫产率，并避免并发症的发生[1]。采用药物治疗时，存在药物剂量较难控制且可能会有不同程度的药物不良反应、孕妇对药物的敏感性不一致等原因，临床使用效果欠佳[2-3]。2014版《妊娠晚期引产指南》指出使用子宫颈扩张球囊机械性的扩张宫颈的方法来促进宫颈成熟，宫缩过频的风险相对较低，可用于妊娠晚期以达到促进宫颈成熟引产的效果[4]。笔者所在科室将子宫颈扩张球囊用于妊娠晚期促宫颈成熟引产，效果显著，成功率高，并发症少，患者满意度高，具体分析如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2018年4月-2019年4月收治的400例有引产指征的产妇作为研究对象。纳入标准：均为足月孕产妇，无阴道分娩禁忌证，无严重妊娠并发症，存在引产指征。按引产方法不同分为观察组和对照组。观察组200例，年龄25～37岁，平均(28.3±2.5)岁;孕周37～41周，平均(40.0±1.0)周;引产前Bishop评分4～6分，平均(4.5±0.8)分。对照组200例，年龄24～36岁，平均(28.5±3.0)岁，孕周37+3～41+2周，平均(40.0±0.9)周;引产前Bishop评分4～6分，平均(4.6±0.8)分。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(许小芳)
【关键词】 子宫颈扩张球囊 引产 缩宫素
[Abstract] Objective： To compare the effect of cervical dilatation balloon in promoting cervical maturation and induced labor in late pregnancy. Method： A total of 200 full-term pregnant women who received cervical dilatation balloon induction in our hospital from April 2018 to April 2019 were selected as the observation group， and 200 pregnant women who received intravenous oxytocin induction in our hospital during the same period were selected as the control group. The total course of labor， vaginal delivery rate， cesarean section rate， and neonatal 5 min Apgar score， postpartum hemorrhage rate， patient satisfaction were compared between the two groups. Result： The total labor process in the observation group was shorter than that in the control group， the difference was statistically significant (P<0.05). The vaginal delivery rate， neonatal 5 min Apgar score， and patient satisfaction in the observation group were significantly higher than those in the control group， the differences were statistically significant (P<0.05). The rate of cesarean section and postpartum hemorrhage in the observation group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion： The induction effect of cervical dilatation balloon in promoting cervical maturation during term pregnancy is better than that of intravenous infusion of oxytocin alone， with a high success rate， less complications and high patient satisfaction.
隨着国家计划生育政策转变，二胎产妇、高龄产妇、高危产妇等所占比逐年增加，对如何降低剖宫产率、提高阴道分娩率的重视程度越来越高，促进孕产妇自然分娩也是产科工作者一直努力的方向。对于符合引产指征的孕妇，引产术作为产科主要促进自然分娩的干预措施之一，在临床广泛使用。在临产前采用药物、机械等方式、方法促进产程的发动，从而促使胎儿阴道分娩，实现顺利分娩，可降低剖宫产率，并避免并发症的发生[1]。采用药物治疗时，存在药物剂量较难控制且可能会有不同程度的药物不良反应、孕妇对药物的敏感性不一致等原因，临床使用效果欠佳[2-3]。2014版《妊娠晚期引产指南》指出使用子宫颈扩张球囊机械性的扩张宫颈的方法来促进宫颈成熟，宫缩过频的风险相对较低，可用于妊娠晚期以达到促进宫颈成熟引产的效果[4]。笔者所在科室将子宫颈扩张球囊用于妊娠晚期促宫颈成熟引产，效果显著，成功率高，并发症少，患者满意度高，具体分析如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2018年4月-2019年4月收治的400例有引产指征的产妇作为研究对象。纳入标准：均为足月孕产妇，无阴道分娩禁忌证，无严重妊娠并发症，存在引产指征。按引产方法不同分为观察组和对照组。观察组200例，年龄25～37岁，平均(28.3±2.5)岁;孕周37～41周，平均(40.0±1.0)周;引产前Bishop评分4～6分，平均(4.5±0.8)分。对照组200例，年龄24～36岁，平均(28.5±3.0)岁，孕周37+3～41+2周，平均(40.0±0.9)周;引产前Bishop评分4～6分，平均(4.6±0.8)分。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(许小芳)
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