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目的探讨在足月妊娠患者中应用宫颈扩张球囊对其宫颈成熟度及分娩结局的影响。方法选取2011年3月-2016年5月该院妇产科收治的足月妊娠孕妇625例,随机分为对照组312例和研究组313例,其中对照组采用静脉滴注缩宫素,研究组采用宫颈扩张球囊干预技术,观察两组患者在不同引产方式干预后的宫颈成熟程度及对分娩结果的影响,其中患者宫颈成熟度以Bishop评分法进行判断,分娩结果以产程时间、自然分娩率、剖宫产率、产妇产后出血量、新生儿窒息评分及不良反应发生率为评价标准。结果 (1)研究组患者宫颈成熟度达到(7.37±1.62)分比对照组患者(6.94±1.58)分显著提高(P<0.05);(2)研究组患者的产程时间、自然分娩率、剖宫产率依次为(6.97±1.84)h、71.57%、28.43%,结果明显优于对照组(均P<0.05);(3)研究组中患者的平均出血量为(223.91±22.58)ml、新生儿窒息评分为(9.53±0.17)分,结果均低于对照组(P<0.05);(4)研究组患者的不良反应发生率为0.96%明显低于对照组的5.45%(P<0.05)。结论宫颈扩张球囊应用于足月妊娠患者对促进宫颈成熟的效果明显比使用缩宫素更为有效,不仅能够缩短引产时间、提高自然分娩率,母婴结局良好,是促进宫颈成熟的有效方法。
Objective To investigate the effect of cervical dilatation balloon on the maturity and delivery outcome of cervical in term pregnancy patients. Methods From March 2011 to May 2016, 625 pregnant women of full-term pregnancy admitted to the obstetrics and gynecology department of our hospital were randomly divided into control group (312 cases) and study group (313 cases). The control group was treated with oxytocin Group using cervical dilatation balloon intervention technology to observe the two groups of patients in different ways of induction of labor after cervical ripening and the impact on delivery results, in which patients with cervical maturity Bishop scoring method to determine the delivery time in labor, spontaneous delivery Rate, cesarean section rate, maternal postpartum hemorrhage, neonatal asphyxia score and incidence of adverse reactions as the evaluation criteria. Results (1) The cervical maturity of the study group was significantly higher than that of the control group (7.37 ± 1.62) (6.94 ± 1.58) (P <0.05). (2) The labor duration, spontaneous delivery rate, (6.97 ± 1.84) h, 71.57% and 28.43%, respectively. The results were significantly better than those of the control group (all P <0.05). (3) The average bleeding volume of the study group was (223.91 ± 22.58) ml, The neonatal asphyxia score was (9.53 ± 0.17) points, the results were lower than the control group (P <0.05). (4) The incidence of adverse reactions in the study group was significantly lower than that in the control group (0.96% vs 5.45%, P <0.05 ). Conclusion The application of cervical dilatation balloon in full-term pregnancy patients is more effective in promoting cervical ripening than using oxytocin, which not only can shorten the time of induction of labor, improve the rate of natural childbirth, but also have a good maternal and infant outcome and is an effective method to promote cervical ripening .