宫颈扩张球囊在晚期妊娠引产术中的应用效果分析
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摘要
目的探讨妊娠晚期引产术中应用宫颈扩张球囊的效果。方法方便选择2016年1月—2018年1月期间在该院行晚期妊娠引产术的120例产妇,按照随机方法将其分为两组,每组60例。对照组患者采用人工破膜联合小剂量缩宫素引产,观察组患者采用宫颈扩张球囊促进宫颈成熟引产。观察并评价两组患者宫颈成熟度,记录两组患者第一产程和总产程时间。同时就两组患者分娩方式进行分析。结果观察组和对照组引产总有效率分别为98.33%、91.67%,两组比较差异有统计学意义(χ~2=4.669 0,P<0.05)。观察组患者第一产程(301.35±21.05)min、总产程(368.74±30.26)min,对照组患者第一产程(358.76±24.88)min、总产程(500.17±40.23)min,相较于对照组,观察组时间更短(t=6.890 6,8.107 3,P<0.05)。观察组患者阴道分娩率90.00%显著高于对照组78.33%,差异有统计学意义(χ~2=5.109 3,P<0.05)。结论在晚期妊娠引产术中应用宫颈扩张球囊可促进宫颈成熟,缩短患者产程,提高引产成功率,改善妊娠产妇母婴结局。
Objective To study the application effect of cervical expansion ballon in the induced labor in late pregnancy.Methods 120 cases of delivery women for late induced labor in our hospital from January 2016 to January 2018 were conveniently selected and randomly divided into two groups with 60 cases in each, the control group were treated with artificial rupture of membranes combined with small-dose oxytocin for induced labor, while the observation group were treated with cervical expansion ballon, and the cervical ripening degree of the two groups was observed and evaluated, and the first labor course and total labor time of the two groups were recorded, and the delivery way was analyzed. Results The total effective rate of induced labor in the observation group and in the control group was respectively 98.33%, 91.67%, and the difference was statistically significant(χ~2=4.669 0, P<0.05), and the first labor course and total labor course in the observation group were shorter than those in the control group,[(301.35±21.05) min,(368.74±30.26) min vs(358.76±24.88) min,(500.17±40.23)min](t=6.890 6,8.107 3,P<0.05), and the vaginal delivery rate in the observation group was obviously higher than that in the control group,(90.00% vs 78.33%), and the difference was statistically significant(χ~2=5.109 3,P< 0.05). Conclusion The application of cervical expansion ballon in the induced labor in late pregnancy can promote the cervical ripening, shorten the labor course, improve the induced labor successful rate and improve the maternal and infant outcomes of delivery women.
Objective To study the application effect of cervical expansion ballon in the induced labor in late pregnancy.Methods 120 cases of delivery women for late induced labor in our hospital from January 2016 to January 2018 were conveniently selected and randomly divided into two groups with 60 cases in each, the control group were treated with artificial rupture of membranes combined with small-dose oxytocin for induced labor, while the observation group were treated with cervical expansion ballon, and the cervical ripening degree of the two groups was observed and evaluated, and the first labor course and total labor time of the two groups were recorded, and the delivery way was analyzed. Results The total effective rate of induced labor in the observation group and in the control group was respectively 98.33%, 91.67%, and the difference was statistically significant(χ~2=4.669 0, P<0.05), and the first labor course and total labor course in the observation group were shorter than those in the control group,[(301.35±21.05) min,(368.74±30.26) min vs(358.76±24.88) min,(500.17±40.23)min](t=6.890 6,8.107 3,P<0.05), and the vaginal delivery rate in the observation group was obviously higher than that in the control group,(90.00% vs 78.33%), and the difference was statistically significant(χ~2=5.109 3,P< 0.05). Conclusion The application of cervical expansion ballon in the induced labor in late pregnancy can promote the cervical ripening, shorten the labor course, improve the induced labor successful rate and improve the maternal and infant outcomes of delivery women.
引文
[1]张晗英,魏卫红,徐晓波,等.宫颈扩张球囊在晚期妊娠引产术中的应用效果[J].中国临床护理,2017,9(5):413-415.
[2]陈晖.一次性球囊宫颈扩张器在晚期妊娠引产临床应用效果及护理对策[J].白求恩医学杂志,2017,15(4):484-486.
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[4]王叶平,陶洁静,陈海迎,等.分娩镇痛仪联合子宫颈扩张球囊在足月妊娠羊水偏少产妇分娩临床观察[J].浙江临床医学,2017,19(10):1890-1892.
[5]罗霞,陈春来,周静,等.缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较[J].中国生化药物杂志,2016,36(4):71-73.
[6]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[7]蒋玲玲,陈赟,朱云花,等.子宫颈扩张球囊在逾期妊娠引产中促宫颈成熟的效果观察[J].中国计划生育学杂志,2017,25(4):267-269.
[8]单莉.COOK宫颈扩张球囊用于足月妊娠引产效果观察[J].山东医药,2015,55(14):80-82.
[9]周景英,程庆丰,冯正平,等.催产素调节能量代谢的机制的研究进展[J].重庆医学,2015,44(24):3447-3449.
[10]谭白菊,李玉梅,冯小平,等.COOK子宫颈扩张球囊联合米索前列醇在引产中的应用价值[J].中国妇幼保健,2017,32(12):2771-2774.
[11]徐佳,刘朵朵,马向东,等.利凡诺尔联合Cook宫颈扩张球囊在妊娠中期引产中的应用[J].中国妇幼健康研究,2017,28(7):864-866.
[12]岑倩丽,吴言英,欧小燕,等.COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产的临床观察[J].中国性科学,2016,25(7):137-139.
[2]陈晖.一次性球囊宫颈扩张器在晚期妊娠引产临床应用效果及护理对策[J].白求恩医学杂志,2017,15(4):484-486.
[3]宋云亮,江朵,谭亚杰,等.宫颈扩张球囊引产术应用在晚期妊娠引产的临床观察[J].中国实用医药,2017,12(16):195-197.
[4]王叶平,陶洁静,陈海迎,等.分娩镇痛仪联合子宫颈扩张球囊在足月妊娠羊水偏少产妇分娩临床观察[J].浙江临床医学,2017,19(10):1890-1892.
[5]罗霞,陈春来,周静,等.缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较[J].中国生化药物杂志,2016,36(4):71-73.
[6]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[7]蒋玲玲,陈赟,朱云花,等.子宫颈扩张球囊在逾期妊娠引产中促宫颈成熟的效果观察[J].中国计划生育学杂志,2017,25(4):267-269.
[8]单莉.COOK宫颈扩张球囊用于足月妊娠引产效果观察[J].山东医药,2015,55(14):80-82.
[9]周景英,程庆丰,冯正平,等.催产素调节能量代谢的机制的研究进展[J].重庆医学,2015,44(24):3447-3449.
[10]谭白菊,李玉梅,冯小平,等.COOK子宫颈扩张球囊联合米索前列醇在引产中的应用价值[J].中国妇幼保健,2017,32(12):2771-2774.
[11]徐佳,刘朵朵,马向东,等.利凡诺尔联合Cook宫颈扩张球囊在妊娠中期引产中的应用[J].中国妇幼健康研究,2017,28(7):864-866.
[12]岑倩丽,吴言英,欧小燕,等.COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产的临床观察[J].中国性科学,2016,25(7):137-139.