宫颈扩张球囊联合催产素用于不同年龄段孕产妇促宫颈成熟的效果及引产成功率研究

The Effect of Cervical Dilatation Balloon Combined with Oxytocin on Cervical Ripening Promotion and Successful Rate of Induced Labor in Pregnant and Lying-in Women of Different Ages

目的研究宫颈扩张球囊联合催产素用于不同年龄段孕产妇促宫颈成熟的效果及引产成功率。方法选择2018年1月至2019年5月本院收治的产妇60例,根据孕妇年龄分为两组。对照组45例,年龄<35岁;观察组15例,年龄≥35岁。两组产妇均给予促宫颈成熟球囊联合小剂量催产素进行引产,比较两组的引产效果。结果观察组的促宫颈成熟有效率为73.33%,显著低于对照组的95.56%(P<0.05)。两组的剖宫产率、新生儿窒息率、产后出血率无统计学差异(P>0.05)。观察组的宫颈Bishop评分提分平均值显著低于对照组,产后出血量显著高于对照组(P<0.05)。结论宫颈扩张球囊联合催产素应用于高龄产妇(≥35岁)的促宫颈成熟效果不如<35岁的产妇,但二者的引产成功率等分娩结局无明显差异,总体效果较好。

Objective To study the effect of cervical dilatation balloon combined with oxytocin on promoting cervical ripening in pregnant and lying-in women of different ages and the success rate of induced labor. Methods 60 cases of pregnant women in our hospital from January 2018 to May 2019 were divided into two groups according to ages. 45 cases in the control group were <35 years old, and 15 cases in the observation group were ≥35 years old. Both groups received cervical dilatation balloon combined with low-dose oxytocin for induced labor. The effects of induced labor were compared between the two groups. Results The effective rate of cervical ripening promotion of the observation group was 73.33%, significantly lower than 95.56% of the control group(P<0.05). No statistical difference was found between the two groups in cesarean section rate, neonatal asphyxia rate and postpartum hemorrhage rate(P>0.05). The average raise value of cervical Bishop score of the observation group was significantly lower than that of the control group, and the postpartum hemorrhage volume was significantly higher than that of the control group(P<0.05). Conclusions The effect of cervical dilatation balloon combined with oxytocin on promoting cervical ripening in elderly women(≥35 years old) is not as good as that in women <35 years old,but both have no significant difference in delivery outcomes such as success rate of induced labor, and have better overall effect.