论文部分内容阅读
目的:探讨球囊宫颈扩张器用于足月妊娠宫颈条件不成熟的孕妇进行引产的有效性和安全性。方法:200例符合引产指征的足月妊娠产妇,依据引产方式不同分为两组,观察组120例采用球囊宫颈扩张器后再静滴缩宫素引产;对照组80例单纯静滴缩宫素引产,观察两种方法的促宫颈成熟、临产时间、产后出血量及剖宫产率,并对胎儿窘迫、新生儿窒息及产褥感染等安全性进行比较。结果:观察组促宫颈成熟有效率和引产成功率分别为91.67%和85%,明显高于对照组的73.75%和55%(P<0.01);而且观察组临产时间、总产程、产后出血量及剖宫产率均低于对照组(P<0.05);但两组对产后出血、新生儿窒息及产褥感染比较无明显差异(P>0.05)。结论:对足月宫颈条件不成熟孕妇采用球囊宫颈扩张器联合缩宫素引产,可有效促进其宫颈成熟,缩短临产时间及总产程,提高引产的成功率,降低产后出血量及剖宫产率,安全性高,值得临床进一步研究及推广。
Objective: To investigate the effectiveness and safety of balloon cervical dilator for induction of labor in pregnant women with term cervical pregnancy. Methods: Two hundred pregnant women of full-term pregnancy who were eligible for induction of labor were divided into two groups according to the way of induction of labor. In the observation group, 120 cases were treated with balloon dilator and intravenous oxytocin. In the control group, 80 cases of simple intravenous infusion Uterine hormone induction of labor to observe the two methods of cervical ripening, labor time, postpartum hemorrhage and cesarean section rate, and fetal distress, neonatal asphyxia and puerperal infection and other safety comparison. Results: The effective rate of cervical ripening and induction of labor in the observation group were 91.67% and 85%, respectively, which were significantly higher than those in the control group (73.75% and 55%, P <0.01). Moreover, the labor hours, And cesarean section rate were lower than the control group (P <0.05); but there was no significant difference between the two groups on postpartum hemorrhage, neonatal asphyxia and puerperal infection (P> 0.05). Conclusions: The use of balloon dilator combined with oxytocin for pregnant women with term cervical insufficiency can induce cervical ripening effectively, shorten the time of labor and the total labor process, improve the success rate of induced labor, reduce the amount of postpartum hemorrhage and cesarean section Rate, high safety, it is worth further clinical research and promotion.