宫颈球囊扩张器应用于妊娠足月孕妇引产过程的方法及应用价值研究

Study on the Method and Application Value of Cervical Balloon Dilator in the Process of Inducing Labor of Pregnant Women at Full Term

目的:研究宫颈球囊扩张器应用于妊娠足月孕妇引产的临床价值,并分析宫颈球囊扩张器的使用方法。方法:选择2017年1-12月笔者所在医院就诊的足月妊娠孕妇154例,根据就诊奇偶顺序分为试验组和对照组,各77例。试验组在引产过程中利用宫颈球囊扩张器,对照组利用缩宫素药物引产。对比两组引产效果、母婴分娩结局及新生儿评分情况。结果:试验组的第一产程、第二产程、第三产程均明显短于对照组,对照组的产后出血量多于试验组(P<0.05)。试验组引产成功率97.40%,高于对照组的84.42%(P<0.05)。试验组产后并发症发生率7.79%,低于对照组的18.18%(P<0.05)。两组新生儿体质量、新生儿评分比较差异均无统计学意义(P>0.05)。试验组住院时间短于对照组,差异有统计学意义(P<0.05)。结论:引产是针对妊娠足月孕妇无分娩指征且不存在剖宫产指征开展的分娩措施,宫颈球囊扩张器能够尽快促进孕妇宫颈成熟效果,并提高分娩结局,值得临床应用。

Objective：To study the clinical value of cervical balloon dilators in inducing labor in pregnant women at full term,and to analyze the application method of cervical balloon dilators.Method：A total of 154 pregnant women at full term in our hospital from January to December 2017 were selected and divided into the experimental group and control group,according to the parity order,77 cases in each group.The experimental group in the process of induced labor used cervical balloon expander,the control group used oxytocin drug induced labor.The induced labor effect,maternal delivery outcome and neonatal score were compared between the two groups.Result：The first stage,the second stage and the third stage of labor in the experimental group were significantly shorter than those in the control group,and the amount of postpartum hemorrhage in the control group was higher than that in the experimental group（P〈0.05）.The success rate of induced labor in the experimental group was 97.40%,which was higher than 84.42% in the control group（P〈0.05）.The incidence of postpartum complications in the experimental group was 7.79%,lower than 18.18% in the control group（P〈0.05）.There were no significant differences in body mass and neonatal score between the two groups（P〈0.05）.The length of hospital stay in the experimental group was shorter than that in the control group（P〈0.05）. Conclusion：Induction of labor is aimed at full-term pregnant women with no indication of delivery and no cesarean section to carry out the delivery measures,cervical balloon dilator can promote the cervical ripening effect of pregnant women as soon as possible,and improve the outcome of childbirth, worthy of clinical application.