双球囊与催产素促宫颈成熟的临床效果比较

Comparative study on clinical effect of double balloon catheter and oxytocin on promoting cervical ripening

目的观察双球囊导管与催产素用于促宫颈成熟、引产的临床效果对比。方法选择住院分娩的产妇120例,按随机数字法分组,60例为双球囊组,60例为催产素组,比较两组宫颈Bishop评分提高情况、剖宫产率、阴道分娩率、产后出血及新生儿Apgar评分结果。结果①双球囊组及催产素组宫颈Bishop评分均有明显提高,双球囊组更优于催产素组(t=8.59,P<0.05);②双球囊组剖宫产率低于催产素组,阴道分娩率高于催产素组(x^2=11.368,P<0.05);③两组的产后出血量、新生儿出生Apgar评分差异不显著(P>0.05)。结论双球囊组用于促宫颈成熟、引产临床效果优于催产素组,且安全。

Objective To observe and compare the clinical effect of double balloon catheter and oxytocin on promoting cervical ripening and induction of labor. Methods One hundred and twenty hospitalized cases were divided into double balloon catheter group （ n = 60） and oxytocin group （n = 60） according to random number table method. Two groups were compared in improvement of cervical Bishop score, cesarean section rate, vaginal delivery rate, postpartum hemorrhage and neonatal Apgar score. Results The cervical Bishop score was improved in both groups, and the improvement of double balloon group was better than that of oxytocin group （ t = 8. 59, P 〈 0. 05 ）. Compared with oxytocin group, the cesarean section rate was lower but vaginal delivery rate was higher in double balloon group （X2 = l 1. 368,P 〈 0.05 ）. The differences in postpartum hemorrhage and neonatal Apgar score were not significant （P 〉 0.05 ）. Conclusion The clinical effect of double balloon catheter on promoting cervical ripening and induction of labor is better than that of oxytocin with safety.