比较双球囊、欣普贝生在足月妊娠促宫颈成熟与引产中的应用效果分析

Comparison of the effect of double balloon and Simpson in promoting cervical ripening and induction of labor in term pregnancy

目的:探究分析双球囊和欣普贝生应用于足月妊娠促宫颈成熟与引产中的效果及其安全性。方法:选择2021年2月到2022年1月作为研究时间段,时间跨度1年,抽取期间本院妇产科收治的足月妊娠但宫颈不成熟的产妇合计400例纳入观察对象,通过随机数字表法将所有产妇均分为对照组(n=200,使用欣普贝生引产)和实验组(n=200,使用双球囊引产),对比两组产妇的分娩方式、产程时间、新生儿情况、产后出血量、产后并发症。结果:实验组产妇接受双球囊促宫颈成熟与引产后,剖宫产率显著低于对照组、继续使用缩宫素占比显著高于对照组,临产时间、第一产程时间和总产程时间显著短于对照组,新生儿评分更高,产后出血量更低,产后宫颈裂伤、尿潴留、感染、胎儿窘迫窒息等并发症的总发生率更低,但感染的发生率更高,差异存在统计学意义(P<0.05);两组产妇的新生儿出生体重,第二产程和第三产程时间对比,产后宫颈裂伤、尿潴留、感染、胎儿窘迫窒息等并发症的总发生率对比无显著差异(P>0.05)。结论:双球囊导管在足月妊娠促宫颈成熟与引产中的应用效果确切,能够显著改善宫颈条件、提高产妇自然分娩率、缩短产程、优化妊娠结局,但继续使用缩宫素占比和感染的发生率较高,需要临床根据产妇的具体情况合理选择促宫颈成熟与引产的方式。

Objective:To investigate and analyze the effect and safety of double balloon and Simpson in promoting cervical ripening and induction of labor in term pregnancy.Methods:The study period was from February 2021 to January 2022,with a time span of one year.A total of 400 full-term pregnant women with immature cervix who were admitted by the department of obstetrics and gynecology in our hospital were enrolled in the study.All the women were randomly divided into the control group(n=200,using Simpson to induce labor)and the experimental group(n=200,using double balloon to induce labor).The delivery mode,labor process,newborn situation The amount of postpartum hemorrhage and postpartum complications.Results:The cesarean section rate of the experimental group was significantly lower than that of the control group,and the proportion of continued use of oxytocin was significantly higher than that of the control group.The time of labor onset,the first stage of labor,and the total stage of labor were significantly shorter than those of the control group.The newborn’s score was higher,the amount of postpartum hemorrhage was lower,and the total incidence of complications such as postpartum cervical laceration,urinary retention,infection,fetal distress and asphyxia was lower,But the incidence of infection was higher,the difference was statistically significant(P<0.05);There was no significant difference between the two groups in neonatal birth weight,the time of the second and third stages of labor,and the total incidence of postpartum cervical laceration,urinary retention,infection,fetal distress and asphyxia(P>0.05).Conclusion:The application of double balloon catheter in the promotion of cervical ripening and induction of labor in term pregnancy has a definite effect,which can significantly improve the cervical conditions,increase the natural delivery rate of parturients,shorten the labor process,and optimize the pregnancy outcome.However,the proportion of continued use of oxytocin and the incidence of infection are high,so it is necessary to reasonably choose the way to promote cervical ripening and induction of labor according to the specific conditions of the parturients.