宫颈扩张球囊联合缩宫素对足月妊娠羊水偏少引产的疗效观察

Efficacy of cervical dilatation balloon combinedwith oxytocin in labor induction induced by full-term pregnant oligohydramnios

  • 摘要:
      目的  探讨宫颈扩张球囊联合缩宫素对足月妊娠羊水偏少引产的疗效。
      方法  采用随机数表法将86例足月妊娠羊水偏少孕妇分为宫颈扩张球囊联合缩宫素引产组(研究组)和缩宫素组(对照组), 各43例。比较2组促宫颈成熟效果,记录剖宫产率、总产程时间,观察2组产妇不良反应情况和围产儿结局。
      结果  研究组促宫颈成熟总有效率显著高于对照组,剖宫产率显著低于对照组,总产程时间显著短于对照组(P < 0.05); 2组产妇总不良反应发生率及围产儿结局各指标比较,差异无统计学意义(P>0.05)。
      结论  宫颈扩张球囊联合缩宫素应用于足月妊娠羊水偏少引产,可显著提升促宫颈成熟效果,降低剖宫产率,缩短总产程时间,且不增大母婴风险。

     

    Abstract:
      Objective  To observe the effect of cervical dilatation balloon combined with oxytocin on labor induction induced by full-term pregnant oligohydramnios.
      Methods  A total of 86 full-term pregnant women with oligohydramnios were divided into cervical dilatation balloon combined with oxytocin induction group (study group, n=43) and oxytocin group (control group, n=43). The cervical ripening effects were compared between the two groups. The cesarean section rate and total labor time were recorded. The maternal adverse reactions and perinatal outcomes were observed.
      Results  The total effective rate of cervical ripening in study group was higher, and the cesarean section rate and total labor time were lower than that in control group (P < 0.05). There were no significant differences in the total maternal adverse reactions rate and the indicators of perinatal outcomes between the two groups (P>0.05).
      Conclusion  Cervical dilatation balloon combined with oxytocin can significantly improve the cervical ripening effects, reduce the cesarean section rate, and shorten the total labor time, and it will not increase the maternal-infant risk.

     

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