宫颈球囊扩张术联合缩宫素在初产妇引产中的效果观察

Effect Observation of Cervical Balloon Dilatation Combined with Oxytocin in Induced Labor of Primipara

目的观察初产妇引产中联合宫颈球囊扩张术与缩宫素的效果。方法选择2019年9月-2021年9月本院收治的60例初产妇,根据电脑随机盲选法分为对照组与观察组,各30例。对照组给予缩宫素引产,观察组联合宫颈球囊扩张术与缩宫素引产。比较两组临产情况、引产成功率、宫颈成熟度评分(Bishop)、凝血指标及妊娠结局。结果观察组临产时间、第一产程用时、第二产程用时、第三产程用时、凝血时间均短于对照组(P<0.05);引产后12 h,两组Bishop各维度评分高于引产前,且观察组高于对照组(P<0.05);观察组产后2 h出血量低于对照组、凝血时间短于对照组(P<0.05);观察组引产成功率为96.67%,高于对照组的73.33%(P<0.05);观察组不良妊娠结局发生率为10.00%,低于对照组的46.67%(P<0.05)。结论初产妇引产中联合宫颈球囊扩张术与缩宫素的引产效果理想,可促进宫颈成熟,缩短产程,降低产后出血量,改善凝血指标及妊娠结局。

Objective To observe the effect of combined cervical balloon dilatation and oxytocin in induced labor of primipara.Methods Sixty primiparas admitted to our hospital from September 2019 to September 2021 were selected and divided into control group and observation group according to computer random blind selection method,with 30 cases in each group.The control group was given oxytocin induction,and the observation group was combined with cervical balloon dilatation and oxytocin induction.The labor situation,success rate of induced labor,cervical maturity score(Bishop),coagulation index and pregnancy outcome were compared between the two groups.Results The labor time,the time of the first stage of labor,the time of the second stage of labor,the time of the third stage of labor,and the coagulation time in the observation group were shorter than those in the control group(P<0.05).At 12 h after labor induction,the Bishop scores of the two groups were higher than those before labor induction,and the observation group was higher than the control group(P<0.05).The amount of bleeding at 2 hours after delivery in the observation group was lower than that in the control group,and the coagulation time was shorter than that in the control group(P<0.05).The success rate of induced labor in the observation group was 96.67%,which was higher than 73.33%in the control group(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 10.00%,which was lower than 46.67%in the control group(P<0.05).Conclusion The effect of cervical balloon dilatation combined with oxytocin in induced labor of primipara is ideal,which can promote cervical ripening,shorten labor process,reduce postpartum hemorrhage,and improve coagulation index and pregnancy outcome.