摘要
目的:分析宫颈扩张球囊用于足月妊娠引产中的效果,为产科工作的开展提供参考。方法:选择2019年5月~2020年5月本院产科的106例分娩足月产妇,进行A组与B组随机数字表法分组。A组(n=53)产妇行缩宫素引产,B组(n=53)产妇行宫颈扩张球囊引产。比较2组足月妊娠引产产妇的具体引产情况,包括Bishop宫颈成熟度评分、产程时间、诱发临产时间、胎儿娩出时间、不良事件发生情况以及引产效果。结果:促宫颈成熟后组间Bishop宫颈成熟度评分比较,B组评分(7.20±0.50)分明显高于A组,具有统计学意义(P<0.05);引产效果方面,B组引产成功率94.33%明显高于A组的75.47%,具有统计学意义(P<0.05);产程时间方面,组间第一产程以及总产程时间比较,B组产程时间(6.99±0.50)h、(9.40±2.50)h均明显短于A组,具有统计学意义(P均<0.05)。组间第二产程、第三产程时间比较,组间产程时间差异无显著性(P>0.05);组间诱发临产时间、胎儿娩出时间比较,B组用时(12.60±2.20)min、(18.60±2.30)min均明显短于A组,具有统计学意义(P<0.05);组间羊水污染、产褥感染发生率比较,B组均明显低于对照组(3.77%,16.98%、1.88%,15.09%),具有统计学意义(P<0.05)。结论:对比缩宫素引产,宫颈扩张球囊用于足月妊娠引产中,可提高产妇宫颈成熟度,产程短且引产成功率高,不良事件发生风险低,促进产妇预后。
Objective:To analyze the effect of cervical dilatation balloon in the induction of labor in full-term pregnancy,and to provide reference for the development of obstetric work.Methods:A total of 106 full-term women who gave birth in the obstetrics department of our hospital from May 2019 to May 2020 were selected and grouped by random number table in group A and group B.The women in group A(n=53)were induced by oxytocin,and the women in group B(n=53)were induced by cervical dilatation balloon.The specific labor induction conditions of the two groups of full-term pregnancy induced labor were compared,including Bishop cervical maturity score,labor time,induced labor time,fetal delivery time,occurrence of adverse events,and labor induction effect.Results:Comparison of Bishop cervical maturity scores between groups after cervical ripening.The score of group B(7.20±0.50)was significantly higher than that of group A,which was statistically significant(P<0.05).In terms of the effect of induction of labor,the success rate of group B was 94.33%.It was significantly higher than 75.47%of group A,which was statistically significant(P<0.05);in terms of labor time,the first labor and total labor time between groups were compared,and the labor time of group B(6.99±0.50)h,(9.40±2.50)h were both significantly shorter than group A,with statistical significance(all P<0.05).Comparing the time of the second and third labor between groups,there was no significant difference in labor time between groups(P>0.05);comparison of induced labor time and fetal delivery time between groups,the time used in group B(12.60±2.20)min,(18.60±2.30)min were significantly shorter than that of group A,which was statistically significant(P<0.05);comparison of the incidence of amniotic fluid pollution and puerperal infection between the groups,group B was significantly lower than that of the control group(3.77%vs 16.98%,1.88%vs 15.09%),statistically significant(P<0.05).Conclusion:Compared with oxytocin for labor induction,cervical dilatation balloon used in the induction of labor in full-term pregnancy can improve the cervical maturity of the parturient,the labor is short and the success rate of induction is high,the risk of adverse events is low,and the prognosis of the parturient is promoted.
作者
王新
WANG Xin(Department of Obstetrics and Gynecology,Donggang Central Hospital,Liaoning Dandong 118300)
出处
《中国医疗器械信息》
2021年第23期146-148,共3页
China Medical Device Information
