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宫颈扩张球囊联合缩宫素在足月妊娠引产中的应用

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目的 观察宫颈扩张球囊联合缩宫素在低Bishop宫颈评分足月妊娠引产中的效果。方法 选取中山市港口医院2020年1月—2022年12月收治的以低Bishop宫颈评分足月妊娠引产为诊断的100例患者为研究对象。以随机数字表法分为研究组与对照组,各50例。研究组接受宫颈扩张球囊联合缩宫素治疗,对照组以缩宫素治疗。比较2组引产前后Bishop宫颈评分、临产诱发时间、总产程及产后出血,评价引产效果、宫颈处理后结局。结果 引产后,研究组Bishop宫颈评分为(8。53±1。07)分,高于对照组的(6。26±0。98)分,差异有统计学意义(P<0。05)。2组总产程及产后出血量比较,差异无统计学意义(P>0。05)。研究组临产诱发时间为(16。05±3。04)min,短于对照组的(27。06±5。64)min,差异有统计学意义(P<0。05)。2组自然临产发生率比较,差异无统计学意义(P>0。05);研究组产妇引产总有效率为94。00%,高于对照组的76。00%;剖宫产率为14。00%,低于对照组的42。00%,差异有统计学意义(P<0。05)。结论 足月妊娠引产中实施宫颈扩张球囊联合缩宫素可明显提高产妇宫颈成熟度,提高引产总有效率及自然分娩率,降低剖宫产的发生,效果理想。
Application of Cervical Dilatation Balloon Combined With Oxytocin in Induction of Labor in Term Pregnancy
Objective To observe the effectiveness of cervical dilatation balloon combined with oxytocin in the induction of full-term pregnancy with low Bishop cervical score. Methods A total of 100 patients diagnosed with full-term pregnancy and low Bishop cervical score undergoing induction in Zhongshan Gangkou Hospital from January 2020 to December 2022 were selected as the study objects. They were divided into the study group and the control group by random number table method,50 cases in each group. The study group was treated with cervical dilation balloon combined with oxytocin,while the control group was treated with oxytocin. The Bishop cervical score,labor initiation time,total labor process and postpartum blood loss before and after labor induction were compared between the two groups to evaluate the effect of labor induction and the outcome after cervical treatment. Results After induction of labor,the Bishop cervical score of the study group was (8.53±1.07) points,which was higher than (6.26±0.98) points of the control group,and the difference was statistically significant (P<0.05). There was no significant difference in total labor and postpartum blood loss between the two groups (P>0.05). The time to labor initiation in the study group was (16.05±3.04) min,which was shorter than (27.06±5.64) min in the control group,and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of natural labor between the two groups (P>0.05). The total effective rate of induced labor in the study group was 94.00%,which was higher than 76.00% in the control group,the rate of cesarean section was 14.00%,which was lower than 42.00% in the control group,and the differences were statistically significant (P<0.05). Conclusion The implementation of cervical dilatation balloon combined with oxytocin in the induction of full-term pregnancy can significantly improve the cervical maturity,improve the total effective induction of labor and natural delivery rate,reduce the occurrence of cesarean section,and the effect is ideal.

cervical dilatation balloonoxytocincombined treatmentlow Bishop cervical scorefull-term pregnancy inductioneffect of induction of labor

郑宇娜、陈丽梅

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中山市港口医院妇产科,广东中山 528447

宫颈扩张球囊 缩宫素 联合治疗 低Bishop宫颈评分 足月妊娠引产 引产效果

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(22)