宫颈球囊与欣普贝生引产对母婴结局的影响

Effect of cervical balloon and Pubeisheng induced abortion on maternal and child outcomes

目的对比采用宫颈球囊和地诺前列酮(欣普贝生)进行引产对母婴结局产生的影响。方法 718例分娩需经过引产操作的孕妇,随机分为研究组(388例)和对照组(330例)。研究组采用宫颈球囊进行引产;对照组采用欣普贝生进行引产;对比两组在阴道分娩率、钳产率、剖宫产率、新生儿窒息率、宫内感染发生率的差异。结果两组孕妇宫内感染发生情况、钳产率比较差异无统计学意义(P>0.05);研究组新生儿轻度窒息及重度窒息情况均低于对照组,剖宫产率低于对照组,阴道分娩高于对照组,差异均有统计学意义(P<0.05)。研究组引产总有效率为88.9%,明显高于对照组的75.5%,差异有统计学意义(P<0.05)。结论采用宫颈球囊进行引产,可显著提高引产成功率,降低剖宫产率,在不增加宫内感染的前提下最大程度地保证母婴安全。

Objective To compare the effect of cervical balloon and dinoprostone （Pubeisheng） induced abortion on maternal and child outcomes. Methods A total of 718 pregnant women undergoing labor induction were randomly divided into research group （388 cases） and control group （330 cases）. The research group received cervical balloon for induced abortion, and the control group received Pubeisheng for induced abortion. Comparison were made on differences of vaginal delivery rate, forceps delivery rate, cesarean section rate, neonatal asphyxia rate and incidence of intrauterine infection between the two groups. Results Both groups had no statistically significant difference in occurrence of intrauterine infection, forceps delivery rate and cesarean section rate （P〉0.05）. The research group had lower neonatal mild asphyxia and severe asphyxia than the control group, lower cesarean section rate than the control group, and higher vaginal delivery rate than the control group, and the difference was statistically significant （P〈0.05）. The research group had obviously higher total effective rate of induced labor as 88.9% than 75.5% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Cervical balloon for induced labor can effectively improve successful rate of induced labor and reduce cesarean section rate, ensure the safety of maternal and child to the greatest extent in the absence of increased intrauterine infection.