水囊与欣普贝生用于促宫颈成熟及引产的临床研究

Clinical study on the ues of water balloon and Propess for cervical maturation promotion and induction of labour

目的比较水囊与欣普贝生用于促宫颈成熟及引产的效果。方法选择于本院产科分娩的产妇62例为研究对象,按照数表随机方式分为研究组(n=31)及对照组(n=31)。对照组采用欣普贝生引产,研究组采用水囊引产。对比两组产妇的引产效果、宫颈Bishop评分、产程进展、引产中不良反应。结果研究组引产总有效率为90.32%,与对照组的83.87%比较,差异无统计学意义(P>0.05)。引产前两组宫颈Bishop评分比较,差异无统计学意义(P>0.05),药物或球囊取出后两组宫颈Bishop评分均较引产前显著升高(P<0.05),但药物或球囊取出后两组比较,差异无统计学意义(P>0.05)。研究组引产至临产时间、引产至分娩时间分别较对照组长(P<0.05),但两组总产程时间比较,差异无统计学意义(P>0.05)。研究组不良反应发生率较对照组低(P<0.05)。结论水囊与欣普贝生促宫颈成熟及引产的效果相当,但水囊引产的不良反应较少,安全性较高,值得推广。

Objective To compare the effect of water balloon and Propess on cervical maturation promotion and induction of labor.Methods 62 women who gave birth in the Obstetrics Department of the hospital were selected as the study objects,and were randomly divided into the study group(n=31)and the control group(n=31).The control group was induced by Propess,and the study group was induced by water balloon.The results of labor induction,cervical Bishop score,labor progress and adverse reactions during labor induction were compared between the two groups.Results The total effective rate of labor induction in the study group was 90.32%,compared with 83.87%in the control group,the difference was not statistically significant(P>0.05).There was no statistically significant difference in cervical Bishop score between the two groups before labor induction(P>0.05),and cervical Bishop score between the two groups after drug or balloon removal was significantly higher than that before labor induction(P<0.05),but there was no statistically significant difference between the two groups after drug or balloon removal(P>0.05).The time from labor induction to labor and labor induction to delivery in the study group were longer than those in the control group(P<0.05),but there was no statistical significance in the total labor time between the two groups(P>0.05).The adverse reaction rate of the study group was lower than that of the control group(P<0.05).Conclusion The effect of water balloon on cervical maturation promotion and induction of labor is similar to that of Propess,but water balloon induction of labor has fewer adverse reactions and higher safety,which is worth popularizing.