中国医学创新2019，Vol.16Issue(1)：13-18,6.DOI:10.3969/j.issn.1674-4985.2019.01.004
宫颈球囊应用于延期妊娠并羊水过少产妇对其妊娠结局的影响
Effect of Cervical Balloon on Pregnancy Outcome of Pregnant Women with Delayed Pregnancy and Oligohydramnios
摘要
Abstract
Objective:To investigate the effect of cervical balloon on pregnancy outcome of pregnant women with delayed pregnancy and oligohydramnios.Method:228 cases of delayed pregnancy in our hospital from June 2016 to September 2018 were selected, according the B-ultrasound, they were divided into amniotic fluid (group A) of 114 cases and normal amniotic fluid (group B) of 114 cases.According to the treatment regimen, they were divided into four groups A1, A2, B1 and B2, 57 cases in each group.Group A1 and B1 underwent oxytocin induced labor, group A2 and B2 underwent cervical balloon induction.The Bishop score was used to evaluate the cervical ripening before and after treatment.The choice of delivery mode, the time of delivery, the time of delivery of the fetus, the total birth process, the postpartum hemorrhage, the perinatal situation and the occurrence of adverse events were observed and compared.Result:The total effective rate of women in each group was 50.88％, 70.18％, 85.96 and 98.25％respectively, the total effective rate was statistically significant (字2=9.402, P=0.024).After treatment, the Bishop scores of all pregnant women were higher than that before treatment (P<0.05), the Bishop scores order of parturients in each group was A1<A2<B1<B2, the differences were statistically significant (F=120.468, P<0.001).The order of cesarean section of parturients in each group was A1>B1>A2>B2, low amniotic fluid and the rate of caesarean section induced by different cervix maturation modes between normal parturients and amniotic fluid (P<0.05).The induced labor time, fetal delivery time and total labor process of each group were A1>A2>B1>B2, the difference was statistically significant (P<0.05).The sequence of bleeding volume and postpartum hemorrhage in each group was A1>A2>B1>B2, the difference was statistically significant (P<0.05).The incidence of adverse events in each group were 49.12％, 29.82％, 14.04％and 3.51％respectively, the difference was statistically significant (P<0.05).The incidence of fetal distress, inhalation pneumonia and asphyxia and the Apgar score of the newborn were statistically significant (P<0.05).Conclusion:Cervix balloon cervical ripening can be applied to puerpera in delayed pregnancy with oligohydramnios, and its induction effect is remarkable.It can reduce the rate of cesarean section and improve the outcome of parturient and perinatal.It is worthy of clinical application.关键词
延期妊娠/羊水过少/宫颈球囊/妊娠结局Key words
Delayed pregnancy/Oligohydramnios/Cervix balloon/Pregnancy outcome引用本文复制引用
钟苑仪,廖东霞,曾丽兰..宫颈球囊应用于延期妊娠并羊水过少产妇对其妊娠结局的影响[J].中国医学创新,2019,16(1):13-18,6.基金项目
广东省医学科学技术研究基金项目(B2018298) （B2018298）
