Foley’s导尿管用于妊娠足月引产的妊娠结局分析

Analysis of pregnancy outcome of Foley's catheter used in terminduction of pregnancy

[目的]探讨Foley’s导尿管用于妊娠足月引产的妊娠结局。[方法]选取2018年1月至2019年12月具有引产指征的足月妊娠产妇60例为研究对象,随机分为实验组(n=30)和对照组(n=30)。对照组采用缩宫素静脉滴注进行促宫颈成熟引产,实验组采用Foley’s导尿管置入宫颈内口上方进行促宫颈成熟引产。评价2组引产24 h宫颈Bishop评分,以引产24 h宫颈Bishop评分≥4分为促宫颈成熟有效,统计比较2组促宫颈成熟效果。比较2组阴道分娩率、剖宫产率、产程、产后2 h出血量、新生儿Apgar评分、住院天数、住院费用以及并发症发生率等。[结果]与对照组比较,实验组引产24 h宫颈Bishop评分、促宫颈成熟有效率、阴道分娩率、新生儿Apgar评分均升高,剖宫产率、产后2 h出血量、住院费用降低,产程缩短(P<0.05);2组住院天数以及并发症发生率比较差异无统计学意义(P>0.05)。[结论]Foley’s导尿管用于妊娠足月引产成功率高且安全性良好,可有效改善妊娠结局,值得临床推广应用。

[Objective]To explore the pregnancy outcome of Foley’s catheter in terminduction of pregnancy.[Methods]60 full-term pregnant women with induction indications from January 2018 to December 2019 were selected as the study objects,and were randomly divided into experimental group(n=30)and control group(n=30).In the control group,oxytocin was infused intravenously to promote cervical ripening and induction of labor;in the experimental group,Foley’s catheter was put into the upper part of the internal cervical os to promote cervical ripening and induction of labor.The 24-hour cervical Bishop score of the two groups were evaluated,the 24-hour cervical Bishop score≥4 points of induced labor was considered as effective in promoting cervical ripening,and statistical comparison was made between the two groups.Statistics were compared between the two groups for the vaginal delivery rate,cesarean section rate,delivery process time,2 hours postpartum bleeding volume,Apgar score of newborn,hospitalization stay,hospitalization expenses and complications rate.[Results]Compared with those of the control group,the cervical Bishop score,cervical ripening efficiency,vaginal delivery rate,neonatal Apgar score of the experimental group were all increased,the cesarean section rate,2 hours postpartum hemorrhage and hospitalization cost of the experimental group were reduced,and the labor process of the experimental group was shortened(P<0.05).There was no significant difference between the two groups in hospital stay and complication rate(P>0.05).[Conclusion]Foley’s catheter has a high success rate and good safety in term induction of full-term pregnancy,which can effectively improve the outcome of pregnancy and is worthy of clinical application.