仅宫颈条件不成熟的计划分娩产妇应用单球囊的效果观察及其对产妇VAS评分的影响

Observation on the effects of single balloon for pregnant women with immature cervical condition and the effects on VAS score

目的探究仅宫颈条件不成熟的计划分娩产妇应用单球囊的临床效果及其对产妇VAS评分的影响。方法选取江阴市人民医院2017年1月至2018年6月收治的宫颈条件不成熟的计划分娩产妇90例作为研究对象,随机分为对照组与观察组,每组45例。对照组给予小剂量缩宫素进行计划分娩,观察组采用宫颈单球囊扩张进行计划分娩。比较两组产妇促宫颈成熟的效果以及计划分娩的效果和方式,并比较两组产妇的视觉模拟量表(VAS)评分情况。结果观察组促宫颈成熟的有效率高于对照组(P<0.05);观察组计划分娩到临产、临产到分娩的时间均短于对照组,且观察组顺产率高于对照组,剖宫产率以及阴道助产率低于对照组(P<0.05);治疗前两组VAS评分比较差异未见统计学意义(P>0.05),治疗后观察组VAS评分低于对照组(P<0.05)。结论宫颈条件不成熟的产妇应用单球囊治疗效果良好,还可以降低VAS评分,值得临床应用和推广。

Objective To investigate the effects of single balloon for pregnant women with immature cervical conditions and the effects on visual analogue scale(VAS)score.Methods A total of 90 cases pregnant women with immature cervical conditions who were admitted to Jiangyin People’s Hospital from January 2017 to June 2018 were selected as research subjects,and they were randomly divided into control group and observation group,with 45 cases in each group.Patients in control group were given small doses of oxytocin for planning delivery,and patients in observation group used cervical single balloon dilatation for planning delivery.The effects of cervical ripening and outcomes and mode of delivery were compared between the two groups.The VAS scores of the two groups were compared.Results The effective rate of promoting cervical ripening in observation group was higher than that in control group(P<0.05);the time from planning delivery to parturition,parturition to parturition in observation group were shorter than those in control group,and the rate of spontaneous delivery in observation group was higher than that in control group,and the rate of cesarean section and vaginal delivery were lower than those in control group(P<0.05).There was no significant difference in VAS score between the two groups before treatment(P>0.05);after treatment,the VAS score of observation group was lower than that of control group(P<0.05).Conclusions Single balloon therapy is effective for pregnant women with immature cervical condition.It can also reduce VAS score,which is worthy of clinical promotion and application.