子宫颈扩张球囊应用于妊娠晚期女性宫颈成熟和引产的优势评价

Evaluation of the Advantages of Using Cervical Dilation Balloons for Cer⁃vical Maturation and Induction of Labor in Late Pregnancy Women

目的 评价子宫颈扩张球囊应用于妊娠晚期女性宫颈成熟和引产的优势。方法 方便选取2022年12月—2023年12月武汉真爱妇产医院妇产科引产的62例妊娠晚期产妇,使用随机数字表法分为对照组和研究组,每组31例。对照组患者行缩宫素引产,研究组患者在此基础上行子宫颈扩张球囊引产,对比两组患者的宫颈成熟和引产情况。结果 研究组患者促宫颈成熟有效率(96.77%)高于对照组(80.65%),差异有统计学意义(P<0.05)。研究组患者第一产程时间(7.23±1.67)h、第二产程时间(0.56±0.18)h及总产程时间(8.49±1.35)h短于对照组,产后出血量(210.85±34.41)mL少于对照组,差异有统计学意义(P均<0.05)。研究组患者母婴不良结局总发生率低于对照组,差异有统计学意义(P<0.05)。两组患者并发症总发生率对比,差异无统计学意义(P>0.05)。结论 妊娠晚期应用子宫颈扩张球囊可促进宫颈成熟,提高阴道分娩率,改善母婴结局。

Objective To evaluate the advantages of cervical dilatation balloon in cervical ripening and production of women in late pregnancy.Methods From December 2022 to December 2023,62 pregnant women in the third trimes-ter of pregnancy were conveniently selected from the Department of Obstetrics and Gynecology of Wuhan Zhen'ai Ob-stetrics and Gynecology Hospital.They were into control group and study group by random number table method,with 31 cases in each group.The patients in the control group were treated with oxytocin production,and the patients in the study group were treated with cervical dilatation balloon production on this basis.The cervical ripening and produc-tion of the two groups were compared.Results The effective rate of cervical ripening in the study group(96.77%)was higher than that in the control group(80.65%),and the difference was statistically significant(P<0.05).The first stage of labor time(7.23±1.67)h,the second stage of labor time(0.56±0.18)h and the total labor time(8.49±1.35)h in the study group were shorter than those in the control group,and the amount of postpartum hemorrhage(210.85±34.41)mL was less than that in the control group,the differences were statistically significant(all P<0.05).The total inci-dence of maternal and infant adverse outcomes in the study group was lower than that in the control group,and the dif-ference was statistically significant(P<0.05).There was no significant difference in the total incidence of complica-tions between the two groups(P>0.05).Conclusion The application of cervical dilatation balloon in late pregnancy can promote cervical ripening,increase vaginal delivery rate,and improve maternal and infant outcomes.