初产妇和经产妇应用子宫颈扩张双球囊引产的结局比较
Comparison of the Outcome of Using Cervical Dilation Double Balloon Induced Labour in Primipara and Multipara
谢春梅1
作者信息
- 1. 郎溪县人民医院 安徽 郎溪 242199
- 折叠
摘要
目的:探讨初产妇和经产妇应用子宫颈扩张双球囊引产的结局.方法:回顾性选取 2021 年 1 月—2023 年 9 月郎溪县人民医院接受子宫颈扩张双球囊引产的 150 例产妇,根据产次分为初产妇组和经产妇组,各 75 例.比较两组球囊放置到分娩时间、球囊放置前后宫颈Bishop评分、促宫颈成熟有效率、引产效果及新生儿结局.结果:球囊放置后,经产妇组宫颈Bishop评分高于初产妇组,差异有统计学意义(P<0.05);经产妇组球囊放置到分娩时间短于初产妇组,促宫颈成熟总有效率高于初产妇组,差异有统计学意义(P<0.05).经产妇组剖宫产、阴道助产、继发感染、分娩镇痛、发热的发生率均低于初产妇组,差异有统计学意义(P<0.05).经产妇组新生儿产伤、新生儿窒息率低于初产妇组,差异有统计学意义(P<0.05).结论:相比于初产妇,经产妇使用子宫颈扩张双球囊引产的效果更好,且副作用较少.初产妇需寻找更有效地促进宫颈成熟方法,以减少剖宫产率和母婴不良结局.
Abstract
Objective:To investigate the outcome of using cervical dilation double balloon induced labour in primipara and multipara.Method:A total of 150 parturients who received cervical dilation double balloon induced labour in the Langxi County People's Hospital of from January 2021 to September 2023 were retrospectively selected and divided into primipara group and multipara group according to the birth time,with 75 cases in each group.The time from balloon placement to delivery,cervical Bishop score before and after balloon placement,cervical maturation efficiency,labor induction effect and neonatal outcome were compared between the two groups.Result:After balloon placement,the cervical Bishop score of the multipara group was higher than that of the primipara group,and the difference was statistically significant(P<0.05).The time from balloon placement to delivery in the multipara group was shorter than that in the primipara group,and the total effective rate of cervical maturation promotion was higher than that in the primipara group,the differences were statistically significant(P<0.05).The incidence of cesarean section,vaginal midwifery,secondary infection,labor analgesia and fever in the multipara group were lower than those in the primipara group,and the differences were statistically significant(P<0.05).The rates of neonatal birth injury and neonatal asphyxia in the multipara group were lower than those in the primipara group,and the differences were statistically significant(P<0.05).Conclusion:Compared with primipara,the use of cervical dilation double balloon induced labour in multipara has a better effect,and has fewer side effects.Primipara need to find more effective ways to promote cervical maturation in order to reduce cesarean section rates and adverse maternal and infant outcomes.
关键词
子宫颈扩张双球囊/引产/初产妇/经产妇/足月妊娠Key words
Cervical dilation double balloon/Induced labour/Primipara/Multipara/Full-term pregnancy引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据