相同容量两种球囊在足月妊娠引产中临床效果的比较

Comparison of clinical effects of two balloons of the same volume in full-term pregnancy labor induction

目的探讨相同容量的宫颈扩张单腔球囊与COOK宫颈扩张双腔球囊在足月妊娠引产中临床效果的比较。方法选取我院2016年2月~2018年2月收治的176临足月妊娠产妇临床资料,采用随机纸片法分组对照组(86例)和研究组(90例)。对照组采用COOK宫颈扩张双腔球囊,研究组采用宫颈扩张单腔球囊。观察两组促宫颈成熟有效率、临产时间、第一产程、潜伏期、活跃期、第二产程时间、并发症发生情况。结果研究组促宫颈成熟有效率高于对照组,研究组临产时间短于对照组,第一产程、潜伏期长于对照组,差异均有统计学意义(P<0.05),两组产妇活跃期、第二产程时间比较,差异无统计学意义(P>0.05)。研究组产后出血、脐带脱垂发生率高于对照组,差异有统计学意义(P<0.05),两组感染发生率比较,差异无统计学意义(P>0.05)。结论相同容量的宫颈扩张单腔球囊与COOK宫颈扩张双腔球囊在足月妊娠引产中各有利弊,应根据具体特点使用,提高引产质量。

Objective To investigate the clinical efficacy of the same volume of cervical dilatation single-chamber balloon and COOK cervical dilatation double-chamber balloon in full-term pregnancy labor induction. Methods The clinical data of 176 full-term pregnant women who admitted to our hospital from February 2016 to February 2018 were analyzed. By a random paper method,they were divided into control group (COOK cervical dilatation double balloon,n=86) and study group (cervical dilatation single-chamber ballon,n=90). The effectiveness of promoting cervical ripening,labor time,first stage of labor,incubation period,active period,second stage of labor,complications were observed between both groups. Results In the study group,the effectiveness rate of promoting cervical ripening was higher than that of the control group. The maternal labor time of the study group was shorter than that of the control group. The first stage of labor and the incubation period were longer than those of the control group with statistical significance (P<0.05). There was no significant difference in active period or the second stage of labor (P>0.05). The incidence of postpartum hemorrhage and umbilical cord prolapse in the study group was higher than that in the control group with statistical significance (P<0.05). There was no significant difference in the incidence of maternal infection (P>0.05). Conclusion The same volume of cervical dilatation single-chamber balloon and COOK cervical dilatation double-cavity balloon both have advantages and disadvantages in full-term pregnancy labor induction. Selection is based on the specific characteristics in order to improve the quality of labor induction.