促宫颈成熟与足月延期引产应用双球囊及缩宫素的临床效果评价

Clinical Effect of Application of Double Balloon and Oxytocin in Cervical Ripening and Full Extension Induced Labor

目的:评析促宫颈成熟与足月延期引产应用双球囊及缩宫素的临床效果。方法:抽选106例足月延期引产产妇为观察对象随机分为各包含53例的缩宫素组(对照组)与双球囊组(实验组),分别进行缩宫素静滴、双球囊导管置入处理,评估比较两组产妇促宫颈成熟效果,并观察产妇的妊娠结局与引产效果。结果:实验组产妇的促宫颈程度效果高达94.3%,相比于对照组的43.4%显著更高(P<0.05),宫颈Bishop评分提升优于对照组(P<0.05);实验组的剖宫产率、总产程时间与诱发临床时间相比于对照组均明显更少(P<0.05),而两组在新生儿体重、新生儿Apgar评分无明显差异(P>0.05)。结论:双球囊导管对于足月延期引产产妇而言可有效促宫颈成熟,缩短产程时间,并降低剖宫产率,相较于缩宫素更为安全、有效。

Objective：To analyze the clinical effect of application of double balloon and oxytocin in cervical ripening and full extension induced labor.Methods： 106 cases of term extension induced maternal were selected and randomly divided into oxytoein group （control group） and double balloon group （experimental group）, with 53 cases in each group.The patients in oxytocin group were given oxytocin intravenous drip, and the other group was given double balloon catheter placement, then compared the promoting cervical ripening effect between the two groups, and observed the pregnancy ending and induced labor effect.Results：The promoting cervical ripening effect of experimental group （94.3 %） were significantly higher than that of control group （43.4 %） （P〈0.05）. The cervical Bishop score of of experimental group improved better than that of control group （P〈0.05） ;The cesarean section rate,total production process and cause clinical time of experimental group were significantly less than those of control group （P〈0.05）,while the neonatal weight and neonatal Apgar score of two groups had no significant difference （P〉0.05）. Conclusion：Double balloon catheter can effectively promote cervical ripening, shorten labor time and reduce the rate of cesarean section, which is safer and more effective than oxytocin.