| 摘要: |
| 摘要：目的 观察子宫颈扩张球囊促宫颈成熟对产妇宫颈Bishop评分、分娩方式及母婴结局的影响。方法 选择广州市白云区妇幼保健院2016-07—2016-12间手指的213例宫颈条件不成熟，要求引产的孕妇作为研究对象，采用数字表随机法分为两组，对照组106例采用缩宫素引产，观察组107例采用子宫颈扩张球囊促宫颈成熟，比较两组宫颈Bishop评分、分娩方式及母婴结局。结果 引产后12h两组Bishop评分均较引产前有明显提高（P＜0.05）。观察组引产12 h后Bishop评分为（6.59±1.73）分，明显高于对照组的（4.81±1.07）分，观察组引产至临产时间为（16.71±3.62）h，总产程为（8.16±1.50）h，均短于对照组的（36.87±9.43）h和（10.93±2.08）h，差异有统计学意义（P＜0.05）。观察组阴道分娩率为75.70%，明显高于对照组的48.11%，差异有统计学意义（P＜0.05）。两组宫颈裂伤、产后2 h出血量＞500 mL、宫内感染、胎儿宫内窘迫、新生儿窒息率差异无统计学意义(P＞0.05)。结论 子宫颈扩张球囊促宫颈成熟符合生理产程改变，可提高阴道分娩率，且不增加产后感染、出血及新生儿窒息等不良结局，而且操作简便，占用人力资源少，是基层医院晚期妊娠引产的理想方法。 |
| 关键词: 子宫颈扩张球囊 促宫颈成熟 Bishop评分 分娩方式 母婴结局 |
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| The effects of Cervical expansion balloon on cervical Bishop scores, delivery methods and maternal and child outcomes were developed |
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| Abstract: |
| 【Abstract】 Objective: To observe the effect of Cervical expansion balloon on cervical Bishop’’s score, delivery mode and the outcome of mother and baby. Methods: Our hospital in July, 2016 - December 2016 213 cases of cervical, conditions are ripe for induced labor of pregnant women as the research object, by using digital table randomly divided into two groups, control group 106 cases using oxytocin induced labor, the observation group 107 examples adopts Cervical expansion balloon to promote cervical mature, compare two groups of cervical Bishop score, delivery mode and and outcomes. Results: The two groups of Bishop were significantly improved (P<0.05). Observation group 12 h after induced labor for Bishop score (6.59±1.73), significantly higher than that of control group (4.81±1.07) points, observation group induced labor to labor time is (16.71±3.62) h, total labor (8.16 ±1.50) h, are shorter than the control group (36.87 ± 9.43) h and h (10.93 ±2.08), the difference was statistically significant (P<0.05). The rate of vaginal delivery in the observed group was 75.70%, significantly higher than the 48.11% of the control group, and the difference was statistically significant (P<0.05). Two groups of cervical laceration、postpartum 2h bleeding> 500ml, uterine infection、fetal uterine distress、and neonatal asphyxiation rate (P>0.05). Conclusion: The Cervical expansion balloon to promote cervical mature physiological change, labor can improve the vaginal births, and does not increase postpartum infection, hemorrhage, and neonatal asphyxia adverse outcomes, and easy to operate, occupy less human resources, is an ideal method to grassroots hospital late pregnancy induced labor. |
| Key words: Cervical expansion balloon Maturation of the cervix Bishop score Childbirth way And outcomes impact |
