单腔球囊联合地诺前列酮栓对足月顺产产妇促宫颈成熟的效果研究

Effect of single-chamber balloon combined with dinoprostone suppository on cervical ripening induced by full-term maternal delivery

目的 探讨单腔球囊联合地诺前列酮栓对足月顺产产妇促宫颈成熟的效果.方法 选取义乌市中心医院2017年1月至2018年12月收治的足月顺产产妇120例,采用随机数字表法将所有产妇分为对照组(60例)和观察组(60例),对照组产妇予以单独单腔球囊促宫颈成熟,观察组产妇予以单腔球囊联合地诺前列酮栓促宫颈成熟.观察两组产妇促宫颈成熟效果、分娩结果以及宫颈Bishop评分等情况.结果 观察组产妇促宫颈成熟总有效率(95.00%)明显高于对照组(81.67%),差异有统计学意义( χ^2 =6.135,P<0.05);两组产妇产后出血量、新生儿窒息率比较,差异均无统计学意义(t=1.684,χ^2 =2.563,均P>0.05);观察组产妇总产程为(5.8 ±2.1)h,明显短于对照组的(7.6 ±2.5)h(t=3.126,P<0.05);观察组产妇阴道分娩率(95.00%)明显高于对照组(73.33%)(χ^2 =5.342,P<0.05);球囊、球囊联合地诺前列酮栓置入前,两组产妇宫颈Bishop评分比较,差异无统计学意义(t=3.623,P>0.05);球囊、球囊联合地诺前列酮栓取出后,观察组产妇宫颈Bishop评分为(8.6 ±1.5)分,高于对照组的(7.2 ±1.3)分(t=4.354,P<0.05);观察组产妇总不良反应发生率(6.67%),明显低于对照组(13.33%)(χ^2 =3.821,P<0.05).结论 相对于单纯单腔球囊,应用单腔球囊联合地诺前列酮栓对足月顺产产妇促宫颈成熟的效果更为显著,有效提高阴道分娩率的同时,明显提高产妇宫颈Bishop评分,且有效缩短产妇总产程,并降低产妇不良反应发生率.

Objective To investigate the effects of single-chamber balloon combined with dinoprostone suppository on the progestation of the cervix in full-term maternal delivery.Methods From January 2017 to Decem-ber 2018,120 cases of full-term maternal women admitted to the Central Hospital of Yiwu were selected.According to the random number table method ,all women were divided into control group (60 cases ) and observation group (60 cases).The control group was given a single-cavity balloon to promote cervical ripening.The observation group received single-chamber balloon combined with dinoprostone to promote cervical ripening .The effects of maternal cervical ripening were observed.Results The total effective rate of maternal cervical ripening in the observation group (95.00%) was significantly higher than that in the control group (81.67%),and the difference was statisti-cally significant (χ^2 =6.135,P<0.05).The differences of maternal postpartum hemorrhage and neonatal asphyxia rate were not statistically significant ( t =1.684 ,χ^2 =2.563,all P>0.05).The total maternal labor [( 5.8 ± 2.1)h] in the observation group was significantly shorter than that in the control group [(7.6 ±2.5) h],the differ-ence was statistically significant (t=3.126,P<0.05).The vaginal delivery rate (95.00%) of the observation group was higher than that of the control group (73.33%),the difference was statistically significant ( χ^2 =5.342,P<0.05).Before implanting the balloon and balloon combination ,the Bishop score between the two groups had no statis-tically significant difference (t=3.623,P>0.05).After the balloon and balloon combination were taken out ,the Bishop score of the maternal cervix [(8.6 ±1.5)points] in the observation group was higher than that in the control group [(7.2 ±1.3)points],and the difference was statistically significant (t=4.354,P<0.05).The incidence of adverse reaction of the observation group (6.67%) was lower than that of the control group (13.33%),the differ-ence was statistically significant between the groups ( χ^2 =3.821,P<0.05).Conclusion Compared with simple single-chamber balloon,single-chamber balloon combined with dinoprostone suppository has more significant effect on the maternal ripening of the cervix ,it can improve the vaginal delivery rate and maternal cervical Bishop scores , effectively reduce the maternal total labor ,and reduce the incidence of maternal adverse reactions.