一次性宫颈扩张球囊在妊娠中晚期孕妇引产中的应用效果分析

Analysis of the application effect of disposable cervical dilatation balloon in the induction of labor in the second and third trimester of pregnancy

目的分析一次性宫颈扩张球囊引产在妊娠中晚期孕妇中的应用效果。方法选取2016年10月至2018年11月苏州明基医院诊治的125例妊娠中晚期有引产指征的孕妇作为研究对象。采用随机数字表法将所有孕妇分为观察组(n=63)与对照组(n=62),其中观察组孕妇采用一次性宫颈扩张球囊促进宫颈成熟,对照组孕妇采用缩宫素促进宫颈成熟。对比两组孕妇不同引产方式下各项临床指标、产后出血情况及母婴并发症的差异。结果观察组孕妇引产后Bishop评分、产后出血量、新生儿窒息评分及总产程时间均显著优于对照组,差异具有统计学意义(P<0.05);观察组孕妇引产成功率、宫颈成熟率及顺产率均显著高于对照组,差异具有统计学意义(P<0.05);观察组孕妇并发症发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论一次性宫颈扩张球囊在妊娠中晚期孕妇引产中的应用可有效提高引产成功率,减少孕妇产后出血与母婴并发症,对孕妇妊娠结局及预后的改善具有重要意义,有临床推广应用价值。

Objective To analyze the effect of one-time cervical dilatation balloon induced labor in the second and third trimester of pregnancy.Methods from October 2016 to November 2018,125 pregnant women with induced labor indications in the second and third trimester of pregnancy were selected as the research objects.All pregnant women were randomly divided into observation group(n=63)and control group(n=62).The observation group was given disposable cervical dilatation balloon to promote cervical ripening,while the control group was given oxytocin to promote cervical ripening.The differences of clinical indexes,postpartum hemorrhage and maternal and infant complications were compared between the two groups.Results The Bishop score,postpartum hemorrhage volume,neonatal asphyxia score and total labor process time of the observation group were significantly better than those of the control group,the difference was statistically significant(P<0.05).The success rate of induced labor,cervical ripening rate and spontaneous labor rate of the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions The application of disposable cervical dilatation balloon in the induction of labor in the second and third trimester of pregnancy can effectively improve the success rate of induced labor,reduce postpartum hemorrhage and maternal and infant complications,which is of great significance to improve the pregnancy outcome and prognosis of pregnant women,and has clinical application value.