促宫颈成熟球囊引产疗效及对分娩与新生儿结局的影响

目的探讨促宫颈成熟球囊引产疗效及对分娩和新生儿结局的影响,为临床治疗提供一定依据。方法收集2013年6月至2015年7月西安交通大学第二附属医院收治的200例具有引产指征的孕妇作为研究对象。随机分为对照组100例和观察组100例,对照组给予控释前列腺素E2(PCE2)治疗;观察组给予促宫颈成熟球囊治疗。比较两组孕妇促宫颈成熟疗效、Bishop评分、分娩方式、剖宫产术率及分娩状况等。结果观察组患者促宫颈成熟有效率高达94.0%,明显高于对照组的有效率(83.0%),差异有统计学意义(P0.05)。观察组患者Bioshop评分高达(8.39±0.92)分,明显高于对照组的(7.12±0.35)分,差异有统计学意义(P0.05)。观察组剖宫产术率仅为8.0%,明显低于对照组的19.0%,差异有统计学意义(P0.05)。观察组孕妇诱发临产时间为(14.7±2.8)h,明显少于对照组的(16.4±3.4)h,差异有统计学意义(P0.05);观察组孕妇产后出血(160.2±49.3)mL,明显少于对照组的(180.8±56.1)mL,差异有统计学意义(P0.05)。结论促宫颈成熟球囊引产疗效明显,可明显降低孕妇剖宫产术率,并减少产妇产后出血,值得在临床上进一步深入探讨研究与推广应用。

Odinopoeia efficacy of cervical ripening balloon and effects on labor and neonatal asphyxia

Objective To investigate odinopoeia efficacy of cervical ripening balloon and effects on labor and neonatal asphyxia . Methods A total of 200 parturient cases with labor induction indications from 2013 July to 2015 June were collected in this study , and divided into two groups randomly ,100 cases in control group and 100 cases in observation group .The patients in observation group were treated with cervical ripening balloon ,and patients in the control group were treated with controlled-release prostaglan-din E2 .After treatment ,the effect of cervical ripening ,Bishop Score ,pattern of labor ,cesarean rate and state of labor were observed and compared .Results The success rate of cervical ripening in the observation group was 94 .0% ,which was significant higher than 83 .0% of control group .The Bishop score of observation group was(8 .39 ± 0 .92) ,which was significant higher than(7 .12 ± 0 .35) of control group .The cesarean rate of observation group was only 8 .0% ,which was significant lower than 19 .0% of control group . The length of labor induction and the volume of observation group were(14 .7 ± 2 .8)h and(160 .2 ± 49 .3)mL ,which were both less than those of control group(P< 0 .05) .Conclusion Cervical ripening balloon for cervical ripening at third trimester of pregnancy is effective and safe ,which is worthy of study and further application in clinical treatment .