双球囊导管促宫颈成熟在足月妊娠及引产中的应用

Application of double balloon catheter for cervical ripening in term pregnancy and induced labor

目的探讨双球囊导管促宫颈成熟在足月妊娠及引产中的应用效果。方法选取我院2017年3月~2019年2月入院的有完整诊疗信息的足月妊娠孕妇60例,按随机数字表法分为观察组和对照组,各30例,观察组孕妇应用双球囊导管促宫颈成熟和引产,对照组孕妇直接应用缩宫素静滴引产。比较两组干预后孕妇的促宫颈成熟率(宫颈Bishop评分)、分娩方式和分娩结局。结果两组孕妇干预前宫颈Bishop评分比较无统计学差异,干预后观察组的宫颈Bishop评分显著高于干预前的宫颈Bishop评分,且高于对照组干预后的;观察组孕妇剖宫产率及催产素使用率明显低于对照组;观察组未出现子宫强直收缩,对照组出现2例,两组孕妇产后尿潴留的发生率及产后2h出血量无统计学差异(P>0.05)。结论应用双球囊导管促宫颈成熟在足月妊娠及引产中能够有效改善宫颈条件,从而缩短产程,提高阴道分娩率,并能够减少新生儿并发症的发生,值得临床推广。

Objective To explore application effect of double balloon catheter for cervical ripening in term pregnancy and induced labor.Methods 60 full-term pregnant women with complete diagnosis and treatment information who were admitted to our hospital from March 2017 to February 2019 were selected.According to the random number table method,they were divided into the observation group and the control group,with 30 cases in each group.Pregnant women in the observation group were given double balloon catheter for cervical ripening and induced labor while pregnant women in the control group were given intravenous oxytocin to induce labor.The cervical ripening rate(cervical Bishop score),delivery mode and delivery outcome were compared between the two groups.Results There was no statistically significant difference in cervical Bishop score between the two groups before intervention.The cervical Bishop score after intervention in the observation group was significantly higher than that before intervention and higher than that of the control group after intervention.The cesarean section rate and the use rate of oxytocin in the observation group were significantly lower than those in the control group.There was no case of uterine tonic contraction in the observation group,and there were 2 cases in the control group.There was no significant difference in the incidence of postpartum urinary retention and 2h postpartum hemorrhage between the two groups.Conclusion The application of double balloon catheter for cervical ripening in term pregnancy and induced labor can effectively improve cervical conditions,thereby shortening the labor process,increasing the rate of vaginal delivery and reducing the incidence of neonatal complications,which is worthy of clinical promotion.