宫颈扩张球囊在足月妊娠引产的临床效果分析
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摘要
目的探讨宫颈扩张球囊在足月妊娠引产中的临床应用效果。方法选取2015年2月～2017年10月在本院分娩的64例足月妊娠产妇作为研究对象,随机分成对照组和观察组,每组各32例。对照组在引产中使用缩宫素,观察组使用宫颈扩张球囊。比较两组产妇的引产指标、新生儿Apgar评分、剖宫产率以及产妇产后不良事件的发生情况。结果观察组的诱发临产时间、总产程均短于对照组,差异有统计学意义(P<0.05)。观察组引产后的宫颈Bishop评分高于对照组,差异有统计学意义(P<0.05)。两组的新生儿Apgar评分比较,差异无统计学意义(P>0.05)。观察组的剖宫产率低于对照组,差异有统计学意义(P<0.05)。两组产妇的产后不良事件比较,差异无统计学意义(P>0.05)。结论宫颈扩张球囊应用在足月妊娠引产中具有十分可观的效果。
Objective To explore the clinical application effect of cervical dilatation balloon in induced labor in term pregnancy. Methods A total of 64 full-term pregnant women who delivered in our hospital from February 2015 to October 2017 were selected as subjects and randomly divided into the control group and the observation group, 32 cases in each group. The control group was given Oxytocin during induction of labor, and the observation group was given a cervical dilatation balloon. The induction index, neonatal Apgar score, cesarean section rate and postpartum adverse events in the two groups were compared. Results The induced labor time and the total labor course in the observation group were significantly shorter than those in the control group, with significant differences(P<0.05). The Bishop score of cervix in the observation group was significantly higher than that in the control group, with significant difference(P<0.05). There was no significant difference in the Apgar score of newborns between the two groups(P>0.05). The cesarean section rate in the observation group was lower than that in the control group, with significant difference(P<0.05).There were no significant differences in the maternal and postpartum adverse events between the two groups(P>0.05).Conclusion The application of cervical dilatation balloon is very effective in induced labor in term pregnancy.
Objective To explore the clinical application effect of cervical dilatation balloon in induced labor in term pregnancy. Methods A total of 64 full-term pregnant women who delivered in our hospital from February 2015 to October 2017 were selected as subjects and randomly divided into the control group and the observation group, 32 cases in each group. The control group was given Oxytocin during induction of labor, and the observation group was given a cervical dilatation balloon. The induction index, neonatal Apgar score, cesarean section rate and postpartum adverse events in the two groups were compared. Results The induced labor time and the total labor course in the observation group were significantly shorter than those in the control group, with significant differences(P<0.05). The Bishop score of cervix in the observation group was significantly higher than that in the control group, with significant difference(P<0.05). There was no significant difference in the Apgar score of newborns between the two groups(P>0.05). The cesarean section rate in the observation group was lower than that in the control group, with significant difference(P<0.05).There were no significant differences in the maternal and postpartum adverse events between the two groups(P>0.05).Conclusion The application of cervical dilatation balloon is very effective in induced labor in term pregnancy.
引文
[1]陈茵,刘柯伶.宫颈扩张球囊联合缩宫素及间苯三酚在足月妊娠引产中的应用效果[J].中国当代医药,2015,22(13):110-112.
[2]沈梅,孙波,赵卫华,等.Cook子宫颈扩张球囊与欣普贝生用于足月妊娠引产的临床研究[J].中国妇幼保健,2015,30(4):624-627.
[3]刘红英.宫颈扩张球囊联合缩宫素及间苯三酚对足月妊娠引产的效果[J].牡丹江医学院学报,2016,37(6):84-85.
[4]陈丽云.COOK宫颈扩张球囊和欣普贝生用于高龄初产足月妊娠引产的临床研究[J].实用临床医药杂志,2015,19(21):121-122.
[5]曾笑梅,罗瑶,林素蕊.催产素和COOK宫颈扩张球囊联合用于足月妊娠引产的效果及安全性[J].齐齐哈尔医学院学报,2017,38(9):1038-1039.
[6]孙宇,杨奕梅,宋英,等.COOK双球囊及催产素在促宫颈成熟与引产的对比分析[J].云南医药,2016,37(5):534-536.
[7]罗雪芹,廖宇媛.宫颈扩张双球囊、前列腺素E2栓剂用于促宫颈成熟及足月妊娠引产的效果分析[J].中国当代医药,2014,21(18):41-43.
[8]谭章敏,李玲.COOK球囊联合缩宫素用于足月妊娠引产效果的预测指标分析[J].新医学,2017,48(10):727-731.
[9]高丽霞,陆菊英,钱丹凤.一次性宫颈球囊扩张器用于足月妊娠引产中对宫颈成熟和妊娠结局的影响[J].现代中西医结合杂志,2016,25(20):2232-2234.
[10]吴小肄,王春芳.宫颈质地对地诺前列酮栓及宫颈扩张球囊用于足月妊娠引产的影响[J].中国初级卫生保健,2017,31(4):25-27.
[11]何秋.足月妊娠引产应用不同方法对促宫颈成熟的预后效果分析[J].中国计划生育和妇产科,2016,8(4):62-64.
[12]李凌.COOK子宫颈扩张球囊应用于足月妊娠引产前促宫颈成熟中的安全性分析[J].中国妇幼保健,2015,30(20):3504-3506.
[13]陈李芳,周静,朱彦霏,等.子宫颈扩张球囊与欣普贝生在足月妊娠引产过程中使用效果对比分析[J].中国生化药物杂志,2017,37(4):429-431.
[14]徐珩.宫颈小水囊扩张应用于足月妊娠引产的效果观察[J].中国生育健康杂志,2017,28(4):327-329.
[15]聂乐凯.足月妊娠引产应用欣普贝生、缩宫素、米索前列醇的效果比较[J].实用妇科内分泌杂志(电子版),2017,4(2):114-115.
[16]罗沛芬,曾带娣,李仲均.宫颈扩张球囊配合缩宫素在足月妊娠引产中的效果[J].中国当代医药,2017,24(25):100-103.
[2]沈梅,孙波,赵卫华,等.Cook子宫颈扩张球囊与欣普贝生用于足月妊娠引产的临床研究[J].中国妇幼保健,2015,30(4):624-627.
[3]刘红英.宫颈扩张球囊联合缩宫素及间苯三酚对足月妊娠引产的效果[J].牡丹江医学院学报,2016,37(6):84-85.
[4]陈丽云.COOK宫颈扩张球囊和欣普贝生用于高龄初产足月妊娠引产的临床研究[J].实用临床医药杂志,2015,19(21):121-122.
[5]曾笑梅,罗瑶,林素蕊.催产素和COOK宫颈扩张球囊联合用于足月妊娠引产的效果及安全性[J].齐齐哈尔医学院学报,2017,38(9):1038-1039.
[6]孙宇,杨奕梅,宋英,等.COOK双球囊及催产素在促宫颈成熟与引产的对比分析[J].云南医药,2016,37(5):534-536.
[7]罗雪芹,廖宇媛.宫颈扩张双球囊、前列腺素E2栓剂用于促宫颈成熟及足月妊娠引产的效果分析[J].中国当代医药,2014,21(18):41-43.
[8]谭章敏,李玲.COOK球囊联合缩宫素用于足月妊娠引产效果的预测指标分析[J].新医学,2017,48(10):727-731.
[9]高丽霞,陆菊英,钱丹凤.一次性宫颈球囊扩张器用于足月妊娠引产中对宫颈成熟和妊娠结局的影响[J].现代中西医结合杂志,2016,25(20):2232-2234.
[10]吴小肄,王春芳.宫颈质地对地诺前列酮栓及宫颈扩张球囊用于足月妊娠引产的影响[J].中国初级卫生保健,2017,31(4):25-27.
[11]何秋.足月妊娠引产应用不同方法对促宫颈成熟的预后效果分析[J].中国计划生育和妇产科,2016,8(4):62-64.
[12]李凌.COOK子宫颈扩张球囊应用于足月妊娠引产前促宫颈成熟中的安全性分析[J].中国妇幼保健,2015,30(20):3504-3506.
[13]陈李芳,周静,朱彦霏,等.子宫颈扩张球囊与欣普贝生在足月妊娠引产过程中使用效果对比分析[J].中国生化药物杂志,2017,37(4):429-431.
[14]徐珩.宫颈小水囊扩张应用于足月妊娠引产的效果观察[J].中国生育健康杂志,2017,28(4):327-329.
[15]聂乐凯.足月妊娠引产应用欣普贝生、缩宫素、米索前列醇的效果比较[J].实用妇科内分泌杂志(电子版),2017,4(2):114-115.
[16]罗沛芬,曾带娣,李仲均.宫颈扩张球囊配合缩宫素在足月妊娠引产中的效果[J].中国当代医药,2017,24(25):100-103.