子宫颈扩张球囊与地诺前列酮栓、米索前列醇、低位小水囊在引产中的临床探讨

Clinical Study on Balloon Dilatation of Cervix and Dinoprostone Suppositories, Misoprostol, Low Small Water Pockets in the Induced Labour

目的分析子宫颈扩张球囊与地诺前列酮栓、米索前列醇、低位小水囊在引产中的应用效果。方法选取2016年6月—2018年6月120例医院收治的待产产妇作为观察对象,随机分为A、B、C、D 4组。A组采用子宫扩张球囊引产,B组采用地诺前列酮栓引产,C组采用米索前列醇引产,D组使用地位小水囊引产。观察4组产妇引产前后宫颈评分以及新生儿Apgar评分的差异,同时统计分娩不良事件的发生情况。结果 A、B、C、D组引产前宫颈评分比较差异无统计学意义,A组引产后宫颈评分为(11.85±1.45)分、新生儿Apgar评分为(9.85±0.12)分,A组引产后宫颈评分和新生儿Apgar评分明显高于其他组(P<0.05),而其余3组引产后宫颈评分以及新生儿Apgar评分的比较差异无统计学意义;A组的软产道裂伤发生率为10.0%、剖宫产率为10.0%、宫缩过频发生率为10.0%、宫内窘迫发生率分别为3.3%、院内感染发生率分别为0.0%,A组在软产道裂伤、剖宫产、宫缩过频、宫内窘迫、院内感染等方面的发生率明显低于其他3组(P<0.05),其他3组在软产道裂伤、剖宫产、宫缩过频、宫内窘迫、院内感染等方面的发生率比较差异无统计学意义(P>0.05)。结论子宫扩张球囊在临床分娩中的应用效果要高于地诺前列酮栓、米索前列醇、低位小水囊,能够提高宫颈成熟评分以及新生儿Apgar评分,从而降低分娩不良事件的发生率,值得在临床中推广使用。

Objective To analyze the application effect of balloon dilatation of cervix and dinoprostone suppositories,misoprostol,low small water pockets in the induced labour.Methods 120 cases of delivery women for birth in our hospital from June 2016 to June 2018 were selected and randomly divided into four groups,the group A used the balloon dilatation of uterus for induced labor,the group B used the dinoprostone suppositories for induced labor,the group C used misoprostol for induced labor and the group D used small water pockets for incuded,and the cervix score and Apgar score of newborns of the four groups were observed,and the occurrence of adverse events was counted.Results There were no differences in the cervix scores between the four groups before induced labor,and the cervix score after induced labor and Apgar score of newborns in the group A were respectively(11.85±1.45)points and(9.85±0.12)points,which were obviously higher than those in the other groups(P<0.05),and the differences in the two indicators were not statistically significant and the incidence rate of laceration of soft birth canal,cesarean section rate,incidence rate of tachysystole,incidence rate of fetal distress and incidence rate of hospital infection in the group A were respectively 10.0%,10.0%,10.0%,3.3%,0.0%,and the incidence rate of these diseases in the group A was obviously lower than that in the other three groups(P<0.05),and there was no difference in the incidence rate of these disease between the other three groups(P>0.05).Conclusion The application effect of balloon dilatation of cervix in the clinical delivery is higher than that of dinoprostone suppositories,misoprostol,low small water pockets,can it can improve the cervix maturation score and Apgar score of newborns,thus reducing the incidence rate of delivery adverse events,and it is worth clinical promotion and application.