宫颈双球囊用于足月妊娠促宫颈成熟疗效观察
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摘要
目的探讨宫颈双球囊用于足月妊娠促宫颈成熟的疗效。方法选择东莞市企石医院妇产科于2015年10月至2017年5月收治的96例足月妊娠引产孕妇为研究对象,根据随机数表法分为观察组和对照组,每组48例,对照组应用催产素,观察组应用宫颈双球囊,比较两组处理前后宫颈Bishop评分、促宫颈成熟效果及妊娠结局。结果处理后,观察组孕妇的宫颈Bishop评分为(7.91±2.43)分,明显高于对照组的(6.48±1.58)分,差异有统计学意义(P<0.05);观察组孕妇的促宫颈成熟有效率为93.75%,明显高于对照组的66.67%,差异有统计学意义(P<0.05);观察组孕妇的总产程为(8.78±2.35)h,明显短于对照组的(11.46±3.42)h,胎儿窘迫发生率及剖宫产率分别为12.50%、31.25%,明显低于对照组的43.75%和52.08%,差异均有统计学意义(P<0.05)。结论宫颈双球囊用于足月妊娠促宫颈成熟具有促宫颈成熟效果好、引产成功率高的特点。
Objective To investigate the effect of cervical double balloon on cervical ripening in term pregnancy. Methods Ninety-six pregnant women with induction labor of full-term pregnancy who were admitted in Department of Obstetrics and Gynecology in Dongguan Qishi Hospital from October 2015 to May 2017 were selected as the research objects. According to the random number table, they were divided into observation group and control group, with48 cases in each group. The control group was treated with oxytocin, and the observation group received cervical double balloon. The cervical Bishop score, cervical ripening effect and pregnancy outcome were compared between the two groups before and after treatment. Results After treatment, the cervical Bishop score in observation group was(7.91±2.43), which was significantly higher than(6.48±1.58) in the control group(P<0.05). The cervical ripening rate in observation group was 93.75%, which was significantly higher than 66.67% in control group(P<0.05). The total stage of labor in observation group was(8.78±2.35) h, which was significantly shorter than(11.46±3.42) h in control group. The incidence of fetal distress and the cesarean section in observation group were respectively 12.50% and 31.25%, which were significantly lower than 43.75% and 52.08% in control group(P<0.05). Conclusion Cervical double balloon in term pregnancy has good cervical ripening effect and high success rate of induction of labor.
Objective To investigate the effect of cervical double balloon on cervical ripening in term pregnancy. Methods Ninety-six pregnant women with induction labor of full-term pregnancy who were admitted in Department of Obstetrics and Gynecology in Dongguan Qishi Hospital from October 2015 to May 2017 were selected as the research objects. According to the random number table, they were divided into observation group and control group, with48 cases in each group. The control group was treated with oxytocin, and the observation group received cervical double balloon. The cervical Bishop score, cervical ripening effect and pregnancy outcome were compared between the two groups before and after treatment. Results After treatment, the cervical Bishop score in observation group was(7.91±2.43), which was significantly higher than(6.48±1.58) in the control group(P<0.05). The cervical ripening rate in observation group was 93.75%, which was significantly higher than 66.67% in control group(P<0.05). The total stage of labor in observation group was(8.78±2.35) h, which was significantly shorter than(11.46±3.42) h in control group. The incidence of fetal distress and the cesarean section in observation group were respectively 12.50% and 31.25%, which were significantly lower than 43.75% and 52.08% in control group(P<0.05). Conclusion Cervical double balloon in term pregnancy has good cervical ripening effect and high success rate of induction of labor.
引文
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[6]余玲娟.控释地诺前列酮栓与缩宫素用于足月妊娠促宫颈成熟引产36例[J].中国药业,2013,22(11):119-120.
[7]刘丽园,唐玲,李海英,等.缩宫素在瘢痕子宫妊娠催产中的应用[J].海南医学,2017,28(8):1345-1346.
[8]郑剑兰,付景丽,张小琼,等.双球囊导管及0.8 mm控释地诺前列酮栓在促宫颈成熟与引产方面的随机对照研究[J].中华妇产科杂志,2011,46(8):610-612.
[9]Duro Gómez J,Garrido Oyarzún MF,Rodríguez Marín AB,et al.Vaginal misoprostol and cervical ripening balloon for induction of labor in late-term pregnancies[J].J Obstet Gynaecol Res,2017,43(1):87-91.
[10]康丽萍.球囊促宫颈成熟联合缩宫素引产40例效果观察[J].实用医院临床杂志,2014,11(1):169-170.
[2]樊晓然.促宫颈成熟药物对延期妊娠孕妇分娩结局及围产儿的影响[J].海南医学,2014,25(9):1289-1291.
[3]韦玉华.妊娠晚期三种促宫颈成熟方法的疗效观察[J].贵阳中医学院学报,2013,35(3):149-151.
[4]Sayed Ahmed WA,Ibrahim ZM,Ashor OE,et al.Use of the Foley catheter versus a double balloon cervical ripening catheter in pre-induction cervical ripening in postdate primigravidae[J].J Obstet Gynaecol Res,2016,42(11):1489-1494.
[5]Somirathne D,Goonewardene M,Dahanayake L.Three doses of oral misoprostol versus an intra-cervical Foley catheter for 24 hours for pre-induction cervical ripening in post-dated pregnancies:a randomized controlled trial[J].Ceylon Med J,2017,62(2):77-82.
[6]余玲娟.控释地诺前列酮栓与缩宫素用于足月妊娠促宫颈成熟引产36例[J].中国药业,2013,22(11):119-120.
[7]刘丽园,唐玲,李海英,等.缩宫素在瘢痕子宫妊娠催产中的应用[J].海南医学,2017,28(8):1345-1346.
[8]郑剑兰,付景丽,张小琼,等.双球囊导管及0.8 mm控释地诺前列酮栓在促宫颈成熟与引产方面的随机对照研究[J].中华妇产科杂志,2011,46(8):610-612.
[9]Duro Gómez J,Garrido Oyarzún MF,Rodríguez Marín AB,et al.Vaginal misoprostol and cervical ripening balloon for induction of labor in late-term pregnancies[J].J Obstet Gynaecol Res,2017,43(1):87-91.
[10]康丽萍.球囊促宫颈成熟联合缩宫素引产40例效果观察[J].实用医院临床杂志,2014,11(1):169-170.