摘要
目的探讨宫颈扩张球囊与缩宫素联用对足月妊娠引产产妇宫颈成熟及母婴结局的影响。方法选择2021年6月至2022年12月我院130例足月妊娠引产产妇,根据随机数字表法将所有产妇两组,每组65例。对照组采用缩宫素进行引产,观察组联合宫颈扩张球囊进行引产。对比两组宫颈成熟情况、分娩情况、应激反应、引产期间并发症情况、母婴不良结局。结果比较两组宫颈成熟情况,观察组Bishop宫颈成熟度评分(9.13±0.36)分、促宫颈成熟总有效率为(95.38%),比对照组的(7.61±0.32)分、83.08%高,差异有统计学意义(P<0.05);比较两组分娩情况,观察组临产时间(14.28±2.19)h、总产程时间(6.18±1.13)h短于对照组的(18.37±2.62)h、(8.65±1.56)h,产后出血量(206.47±8.52)m L少于对照组(223.45±10.72)m L,引产成功率(95.38%)高于对照组(83.08%),剖宫产率(4.62%)低于对照组(16.92%),差异有统计学意义(P<0.05);比较两组生产前应激反应,差异无统计学意义(P>0.05);观察组生产后皮质醇(Cor)(53.66±2.84)ng/L、儿茶酚胺(CA)(249.37±7.51)ng/L、谷氨酸(GLU)(5.56±0.58)mmol/L水平均低于对照组的(69.78±3.12)ng/L、(326.45±10.61)ng/L、(7.27±0.89)mmol/L,差异有统计学意义(P<0.05);观察组引产期间并发症发生率(6.16%)低于对照组(18.46%),差异有统计学意义(P<0.05);观察组母婴不良结局发生率(7.70%)低于对照组(23.10%),差异有统计学意义(P<0.05)。结论宫颈扩张球囊与缩宫素联合作用,可显著加快足月妊娠产妇宫颈成熟度,改善母婴结局,值得临床借鉴。
Objective To investigate the effect of cervical dilation balloon combined with oxytocin on cervical maturation and maternal and infant outcomes in full-term induced labor women.Methods 130 full-term induced labor pregnant women in our hospital from June 2021 to December 2022 were selected.According to the random number table method,all pregnant women were divided into two groups,with 65 cases in each group.The control group was induced by oxytocin,and the observation group was induced by cervical dilation balloon.Compare the cervical maturity,delivery status,stress response,complications during induced labor,and adverse maternal and infant outcomes between the two groups.Results It showed that the Bishop cervical maturity score(9.13±0.36)and the total effective rate of promoting cervical maturity(95.38%)in the observation group were higher than those in the control group(7.61±0.32)and 83.08%,with statistical significance(P<0.05);Compare the delivery situation between the two groups.The observation group had shorter delivery time(14.28±2.19)hours and total labor process time(6.18±1.13)hours compared to the control group(18.37±2.62)hours and(8.65±1.56)hours.The postpartum bleeding volume(206.47±8.52)mL was less than the control group(223.45±10.72)mL,and the success rate of induced labor(95.38%)was higher than the control group(83.08%).The cesarean section rate(4.62%)was lower than the control group(16.92%),with a statistically significant difference(P<0.05);There was no statistically significant difference in pre production stress response between the two groups(P>0.05);The levels of cortisol(Cor)(53.66±2.84)ng/L,catecholamine(CA)(249.37±7.51)ng/L,and glutamate(GLU)(5.56±0.58)mmol/L in the observation group after production were lower than those in the control group(69.78±3.12)ng/L,(326.45±10.61)ng/L,and(7.27±0.89)mmol/L,with statistical significance(P<0.05);The incidence of complications during induced abortion in the observation group(6.16%)was lower than that in the control group(18.46%),with a statistically significant difference(P<0.05);The incidence of adverse maternal and infant outcomes in the observation group(7.70%)was lower than that in the control group(23.10%),with a statistically significant difference(P<0.05).Conclusion The combined effect of cervical dilation balloon and oxytocin can significantly accelerate the cervical maturity of full-term pregnancy and improve maternal and infant outcomes,which is worthy of clinical reference.
作者
滕莉霞
TENG Li-xia(Obstetrics and Gynecology Department,Henan Provincial Reproductive Obstetrics and Gynecology Hospital,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第11期73-75,共3页
Journal of Rare and Uncommon Diseases
关键词
足月妊娠
引产
宫颈扩张球囊
缩宫素
宫颈成熟
母婴结局
应激反应
Term Pregnancy
Induced Abortion
Cervical Dilation Balloon
Oxytocin
Cervical Maturity
Maternal and Infant Outcomes
Stress Response
