【摘要】 目的探讨一次性宫颈球囊扩张器在晚期妊娠引产中的临床应用效果。方法选择晚期妊娠、单胎头位有引产指征需进行引产分娩的孕妇320例,随机分为对照组与观察组,各160例。观察组孕妇接受一次性宫颈球囊扩张器引产,辅以缩宫素静脉滴注;对照组孕妇接受单独缩宫素静脉滴注引产。比较2组孕妇宫颈Bishop评分、进入临产时间、总产程、分娩方式、母婴并发症及产妇满意度调查情况。结果观察组宫颈Bishop评分优于对照组(P<0.05);观察组进入临产时间、总产程短于对照组(P<0.05或P<0.01);观察组阴道分娩率高于对照组(P<0.01);2组母婴并发症、不良反应发生率差异无统计学意义(P>0.05),观察组满意度高于对照组(P<0.01)。结论将一次性宫颈球囊扩张器应用于晚期妊娠引产,能有效促进宫颈成熟,缩短产程,提高阴道分娩率,降低剖宫产率,无明显不良反应,孕妇满意度高。更多还原

【Abstract】 Objective To observe the clinical effect of disposable cervical balloon dilator for late pregnancy induction. Methods A total of 320 advanced pregnant women with singleton and cephalic presentation who had indications of labor induction were chosen and were randomly divided into two groups,with 160 cases per group. Women in observation group were treated with one-time cervical balloon dilator and induced by oxytocin and women in control group only used oxytocin intravenous infusion. The Bishop score,the time of labor starting,the length of total stage of labor,mode of delivery,maternal and child complications and maternal satisfaction were compared. Results The Bishop score of the observation group was better( P < 0. 05),the time of labor starting and the length of total stage of labor in observation group was significantly shorter than that in control group( P <0. 05 or P < 0. 01). The rate of vaginal delivery was significantly increased( P < 0. 01). There were no significant differences in maternal and infants complications and adverse reactions( P > 0. 05),but nursing satisfaction was higher in observation group than that in the control group( P < 0. 01). Conclusion Disposable cervical balloon dilator for late pregnancy induced labor can effectively promote cervical ripening,shorten the length of labor,improve vaginal delivery rate,reduce cesarean section rate,increase pregnant women satisfaction and there is no significant adverse reactions.更多还原