Foley导管自制球囊结合缩宫素引产在足月产妇促子宫颈成熟中的临床效果观察

Clinical effects of Foley catheter balloon combined with oxytocin labor induction in promoting cervical ripening of full-term parturients

目的观察Foley导管自制球囊结合缩宫素引产在足月产妇促子宫颈成熟中的临床应用效果。方法选取2020年3月至12月合肥市第八人民医院妇产科收治的105例足月产妇作为研究对象。采用随机数字表法分为试验组(n=53)和对照组(n=52)。试验组采用Foley导管自制球囊结合缩宫素引产,对照组采用缩宫素引产。比较两组引产后妊娠情况、子宫颈成熟度、分娩方式、妊娠结局及不良反应发生率。结果与对照组比较,试验组引产至临产时间、总产程短,引产成功率及新生儿出生时Apgar评分高,产后出血量低,差异具有统计学意义(P<0.05)。两组子宫颈Bishop评分不同处理和时间交互比较,差异具有统计学意义(P<0.05);两组子宫颈Bishop评分不同时间比较,差异具有统计学意义(P<0.05);两组子宫颈Bishop评分组间比较,差异具有统计学意义(P<0.05)。与对照组比较,试验组阴道分娩率高,胎盘早剥、新生儿窒息、产后出血发生率低,差异具有统计学意义(P<0.05)。结论 Foley导管自制球囊结合缩宫素引产在足月产妇促子宫颈成熟中有明确效果。

Objective To observe the clinical effects of Foley catheter balloon combined with oxytocin labor induction in promoting cervical ripening of full-term parturients. Methods 105 full-term parturients admitted to Department of Obstetrics and Gynecology at Hefei Eighth People′s Hospital between March and December 2020 were selected as the research subjects, and were divided into experimental group(n=53) and control group(n=52) by random number table method. The experimental group underwent Foley catheter balloon combined with oxytocin labor induction, while the control group underwent oxytocin labor induction. The pregnancy situation after labor induction, cervical maturity, delivery mode, pregnancy outcomes and incidence of adverse reactions were compared between the two groups. Results Compared with the control group, the interval from induction to parturiency and the total stage of labor were shorter, the success rate of labor induction and neonatal Apgar score at birth were higher, and postpartum blood loss was significantly less in the experimental group(P<0.05). There were statistically significant differences in cervical Bishop scores in terms of time, inter-group and interaction effect(P<0.05). The proportion of vaginal delivery was significantly higher, and the incidences of placental abruption, neonatal asphyxia and postpartum hemorrhage were significantly lower in the experimental group than in control group(P<0.05). Conclusions Foley catheter balloon combined with oxytocin labor induction is effective in promoting cervical ripening of full-term parturients.