子宫颈扩张球囊在足月妊娠引产中的应用效果研究

Application effect research of cervical dilatation balloon in term pregnancy induction

目的探讨子宫颈扩张球囊在足月妊娠引产中的应用效果。方法选取2016年1月~2017年12月在我院接受治疗并进行足月妊娠引产的50例产妇作为研究对象,按照随机数字表法将其分为对照组和观察组,每组各25例。对照组采用小剂量缩宫素静脉滴注引产,观察组采用子宫颈扩张球囊。比较两组的产程、新生儿Apgar评分及术后24 h出血;比较两组的Bishop宫颈成熟度评分、阴道分娩率及剖宫产率。结果观察组产妇的第一产程及总产程短于对照组,新生儿Apgar评分高于对照组,产后24 h出血量少于对照组,差异均有统计学意义(P<0.05)。观察组产妇的阴道分娩率高于对照组,剖宫产率低于对照组,Bishop宫颈成熟度评分高于对照组,差异有统计学意义(P<0.05)。结论将子宫颈扩张球囊用在足月妊娠引产中,可以降低剖宫产率,显著缩短产程时间,可大大改善新生儿的各项生命体征,效果较好,值得推广应用。

Objective To investigate the application effect of cervical dilatation balloon in term pregnancy induction.Methods Fifty pregnant women undergoing term pregnancy induction from January 2016 to December 2017 were selected as subjects.By the random number table method,they were divided into the control group and the observation group,with 25 cases in each group.In the control group,a small dose of Oxytocin was used to induce labor by intravenous drip,and in the observation group,a cervical dilation balloon was used.The labor stage,neonatal Apgar score,and bleeding at 24 hours after surgery were compared between the two groups.In addition,Bishop′s cervical maturity score,the rates of vaginal delivery and cesarean delivery were compared between the two groups.Results In the observation group,the first and total stages of labor were shorter than those in the control group,the neonatal Apgar score was higher than that in the control group,the amount of bleeding at 24 hours after delivery was less than that in the control group,the differences were statistically significant(P<0.05).The vaginal delivery rate in the observation group was higher than that in the control group,the cesarean delivery rate was lower than that in the control group,and Bishop′s cervical maturity score was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The use of cervical dilatation balloon in induction of labor in term pregnancy can reduce the cesarean section rate,significantly shorten the labor stage,and can greatly improve the vital signs of newborns.The effect is favorable,and it is worth popularizing and applying.