子宫颈扩张球囊在足月妊娠羊水偏少孕妇引产过程中的应用价值分析

Applied Value of Cook Ballon Catheter on Labor Induction of Term Pregnant Women with Oligohydramnios

目的:探讨子宫颈扩张球囊在足月妊娠羊水偏少孕妇引产过程中的应用价值。方法:选取2014年6月-2016年10月本院收治的80例足月妊娠羊水偏少孕妇作为研究对象,按照随机数字表法分为对照组和研究组,各40例。对照组孕妇使用小剂量缩宫素静滴进行引产,而研究组孕妇则采用子宫颈扩张球囊进行引产。比较两组孕妇的促宫颈成熟和引产效果、分娩结局及新生儿出生情况。结果:研究组孕妇引产后12 h的宫颈Bishop评分为(8.86±1.75)分,显著高于对照组的(6.42±1.58)分,差异有统计学意义(P<0.05);研究组孕妇促宫颈成熟的总有效率为95.00%,显著高于对照组的80.00%,差异有统计学意义(P<0.05);研究组孕妇24 h内阴道分娩率和阴道分娩率分别为67.50%、82.50%,均显著高于对照组的45.00%、60.00%,而研究组孕妇剖宫产为17.50%,显著低于对照组的40.00%,差异均有统计学意义(P<0.05);研究组孕妇的引产至临产时间和总产程分别为(17.08±7.82)h和(8.94±1.56)h,显著低于对照组的(28.73±9.56)h和(12.76±2.18)h,差异均有统计学意义(P<0.05);两组孕妇新生儿体重、羊水污染率和新生儿窒息率比较,差异均无统计学意义(P>0.05)。结论:子宫颈扩张球囊用于足月妊娠羊水偏少孕妇引产中具有良好的促宫颈成熟作用,可提高引产成功率,降低剖宫产率,安全有效,值得应用于临床。

Objective： To discuss the applied value of Cook ballon catheter on labor induction of term pregnancy with oligohydramnios.nethod： A total of 80 term pregnant women with oligohydramnios from June 2014 to October 2016 were randomly selected and divided into 40 term pregnant women from them accepted with Oxytocin for induced labor were taken as the control group, while the other 40 term pregnant women accepted with Cook ballon catheter were taken as the research group.The effect of cervical ripening and induced labor, delivery outcome and birth state of newborns in two groups were observed.Result： Bishop scores after 12 h odinopoeia of the research group was （ 8.86 ± 1.75 ）, which was higher than （ 6.42 ± 1.58 ） of the control group, the difference was statistically significant （ P〈0.05 ） .The total effective rate of maturing cervix of the research group was 95.00%, which was higher than 85.00% of the control group, the difference was statistically significant （ P〈0.05 ） .The rate of vaginal delivery within 24 h and the rate of vaginal delivery of the research group were 67.50% and 82.50%, which were higher than 45.00% and 60.00% of the control group, the differences were statistically significant （ P〈0.05 ） . The rate of cesarean section of the research group was 17.50%, which was lower than 40.00% of the control group, the difference was statistically significant （ P〈0.05 ） .The times of labor starting and total stage of labor were （ 17.08 ± 7.82 ） h and （ 8.94 ± 1.56 ） h in the research group, while the control group were （ 28.73 ± 9.56 ） h and （ 12.76 ± 2.18 ） h, the differences were statistically significant （ P〈O.05 ） .The amount of postpartum hemorrhage, newborn＇s weight, amniotic fluid contamination and newbom asphyxia rate of two groups had no statistical significance （ P〉0.05 ） .Conclusion： Cook ballon catheter on labor induction of term pregnant women with oligohydramnios with effects of cervical ripening that eanincrease the success rate of induced labor, reduce the cesarean section rate, it is worthy of clinical using.