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子宫颈球囊导管在足月妊娠引产中的临床应用

林小磊 洪小恒 王宗瑶

中国医学创新2019,Vol.16Issue(3):67-70,4.
中国医学创新2019,Vol.16Issue(3):67-70,4.DOI:10.3969/j.issn.1674-4985.2019.03.017

子宫颈球囊导管在足月妊娠引产中的临床应用

Clinical Application of Cervical Balloon Catheter in Induction of Labor in Full-term Pregnancy

林小磊 1洪小恒 1王宗瑶1

作者信息

  • 1. 广东省阳江市妇幼保健院,广东 阳江 529500
  • 折叠

摘要

Abstract

Objective:To explore the clinical application of cervical balloon catheter in induction of labor in full-term pregnancy.Method:A total of 628 pregnant women with term labor induction who admitted to our hospital from September 2016 to March 2018 were selected as the study subjects.They were divided into the control group (injection of Oxytocin) and the observation group (Cervical dilation balloon catheter induction) according to the random number table, 314 cases in each group.The Bishop score, time to labor, bleeding, induction of labor, delivery, neonatal outcome and adverse reactions of two groups were compared.Result:There was no significant difference in the Bishop score of two groups before induction of labor (P>0.05).The Bishop scores of two groups after induction of labor were higher than those of before induction of labor, and the observation group was higher than that of the control group, the difference were statistically significant (P<0.05).The delivery time, induction of labor to childbirth, cesarean section rate, fetal distress and neonatal asphyxia of the observation group were lower than those of the control group, the numbers of spontaneous labor of the observation group was higher than that of the control group, the differences were statistically significant (P<0.05).There were no significant differences in bleeding volume, vaginal delivery rate, birth weight and height of newborns of two groups (P>0.05).The total effective rate of induction of labor in the observation group was 95.86% higher than 78.34% of the control group, the total adverse reaction rate in the observation group was 11.46% lower than 40.45% in the control group, the differences were statistically significant (P<0.05).Conclusion:The introduction of uterine balloon catheters in pregnant women with induction of labor in full-term pregnancy is more effective than routine instillation of oxytocin to promote maturation of the cervix of pregnant women, shorten the waiting time, increase the total efficiency of induction of labor and the rate of spontaneous delivery, reduce the rate of cesarean section, the incidence of adverse reactions and the incidence of fetal distress and neonatal asphyxia, it can be further promoted and used in clinical practice.

关键词

足月妊娠/引产/子宫颈球囊导管/缩宫素

Key words

Full-term pregnancy/Induction of labor/Cervical balloon catheter/Oxytocin

引用本文复制引用

林小磊,洪小恒,王宗瑶..子宫颈球囊导管在足月妊娠引产中的临床应用[J].中国医学创新,2019,16(3):67-70,4.

基金项目

阳江市科学技术局项目([2016]31) ([2016]31)

中国医学创新

1674-4985

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