球囊引产在足月妊娠分娩中的临床应用价值

Analysis of the clinical application value of balloon-induced labour in term pregnancy delivery

目的分析比较球囊引产与催产素引产的临床效果差异。方法选取2020年4-12月于肥东县人民医院妇产科接受治疗的145例足月产妇。其中球囊引产89例作为研究组,催产素引产56例作为对照组。分析比较球囊引产与催产素引产组间临产时间、不同时间段临产率、妊娠结局的差异。结果共145例产妇符合研究纳入与排除标准纳入本研究,平均孕周39周,其中孕周最小为37+1周,最大41+6周,所有孕妇均有引产相关指征。其中球囊引产89例,催产素引产56例。分娩方式上,多数产妇最终采取平产,共117例,占比80.70%。而第一产程<12 h及第二产程<2 h的产妇分别为94例(64.80%)、125例(86.20%)。人工干预后12 h内分娩的产妇占比最多,共76例(52.40%)。新生儿Apgar评分多数为9分(51.70%)。与催产素引产方式相比,球囊引产方式对缩短第一及第二产程有明显的效用,差异有统计学意义(均P<0.05)。在使用球囊后,多数产妇在12 h内分娩,而催产素引产的产妇均在24 h后分娩,球囊引产人工干预后可明显提高12 h内分娩率(P<0.05)。此外,与催产素引产相比,球囊引产产妇的平产率显著升高,新生儿Apgar评分也明显上升。结论球囊引产可提高平产率,改善新生儿结局,即提高新生儿Apgar评分,同时,缩短第一、第二产程及人工干预至分娩所需的时间,值得在临床推广应用。

Objective To analyse the difference of clinical efficacy between balloon induced labor and oxytocin induced labor. Methods A total of 145 term pregnant women who received treatment at the Department of Obstetrics and Gynecology of Feidong County People’s Hospital from April 2020 to December 2020 were selected. The study group included 89 cases of balloon-induced labour, whilst the control group included 56 cases of oxytocin-induced labour. The labour time, difference of birth rate time and differences between pregnancy outcome situation in both groups were compared using 2 test analysis. Results A total of 145 parturients met the inclusion and exclusion criteria of the study and were included in this study. The average gestational age was 39 weeks. The minimum gestational age was 37+1 weeks, and the maximum was 41+6 weeks. All pregnant women had indications related to labour induction. In this study, 89 cases of balloon-induced labour and 56 cases of oxytocin-induced labour were included. In terms of delivery mode, 117 cases underwent normal delivery, accounting for 80.70%. In 94(64.80%) and 125(86.20%) women, the first stage and second stage of labour lasted<12 and<2 h, respectively. About 76 cases(52.40%) were delivered within 12 h after manual intervention. The Apgar score of newborns was mostly 9(51.70%). Compared with oxytocin-induced labour, balloon-induced labour significantly decreased the first and second delivery time(all P<0.05). After using balloon, most of the women delivered within 12 h, whilst all women induced by oxytocin did not deliver until 24 h. After artificial intervention of balloon-induced labour, the delivery rate within 12 h was significantly increased(P<0.05). In addition, compared with oxytocin induction, the natural birth rate and the Apgar score of balloon induction were significantly increased. Conclusion Balloon induction of labour can improve the natural birth rate and neonatal Apgar score. At the same time, it can decrease the first and second delivery time and the time from human intervention to delivery. Balloon induction of labour is worthy of clinical application.