球囊引产在足月妊娠分娩中的临床应用价值

王文霞; 张英; 孙美果; 阮靖

doi:10.16766/j.cnki.issn.1674-4152.002145

球囊引产在足月妊娠分娩中的临床应用价值

doi: 10.16766/j.cnki.issn.1674-4152.002145

王文霞¹,
张英²,
孙美果^2, ,,
阮靖²

1.
安徽医科大学第一附属医院东区肥东县人民医院妇产科，安徽合肥 231600
2.
安徽医科大学第一附属医院妇产科，安徽合肥 230022

基金项目:

安徽省重点研究与开发计划项目 201904a07020046

详细信息

通讯作者:
孙美果, E-mail: 570212810@qq.com

中图分类号: R714.3
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- 文章访问数: 97
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- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2020-12-28
- 网络出版日期: 2022-02-15

Analysis of the clinical application value of balloon-induced labour in term pregnancy delivery

1.
Department of Obstetrics and Gynecology, Feidong County People's Hospital, East of the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 231600, China

摘要

摘要: 目的分析比较球囊引产与催产素引产的临床效果差异。方法选取2020年4—12月于肥东县人民医院妇产科接受治疗的145例足月产妇。其中球囊引产89例作为研究组，催产素引产56例作为对照组。分析比较球囊引产与催产素引产组间临产时间、不同时间段临产率、妊娠结局的差异。结果共145例产妇符合研究纳入与排除标准纳入本研究，平均孕周39周，其中孕周最小为37⁺¹周，最大41⁺⁶周，所有孕妇均有引产相关指征。其中球囊引产89例，催产素引产56例。分娩方式上，多数产妇最终采取平产，共117例，占比80.70%。而第一产程＜12 h及第二产程＜2 h的产妇分别为94例(64.80%)、125例(86.20%)。人工干预后12 h内分娩的产妇占比最多，共76例(52.40%)。新生儿Apgar评分多数为9分(51.70%)。与催产素引产方式相比，球囊引产方式对缩短第一及第二产程有明显的效用，差异有统计学意义(均P＜0.05)。在使用球囊后，多数产妇在12 h内分娩，而催产素引产的产妇均在24 h后分娩，球囊引产人工干预后可明显提高12 h内分娩率(P＜0.05)。此外，与催产素引产相比，球囊引产产妇的平产率显著升高，新生儿Apgar评分也明显上升。结论球囊引产可提高平产率，改善新生儿结局，即提高新生儿Apgar评分，同时，缩短第一、第二产程及人工干预至分娩所需的时间，值得在临床推广应用。
- 球囊 /
- 催产素 /
- 引产 /
- 妊娠
Abstract: Objective To analyse the difference of clinical efficacy between balloon induced labor and oxytocin induced labor. Methods A total of 145 term pregnant women who received treatment at the Department of Obstetrics and Gynecology of Feidong County People's Hospital from April 2020 to December 2020 were selected. The study group included 89 cases of balloon-induced labour, whilst the control group included 56 cases of oxytocin-induced labour. The labour time, difference of birth rate time and differences between pregnancy outcome situation in both groups were compared using 2 test analysis. Results A total of 145 parturients met the inclusion and exclusion criteria of the study and were included in this study. The average gestational age was 39 weeks. The minimum gestational age was 37⁺¹ weeks, and the maximum was 41⁺⁶ weeks. All pregnant women had indications related to labour induction. In this study, 89 cases of balloon-induced labour and 56 cases of oxytocin-induced labour were included. In terms of delivery mode, 117 cases underwent normal delivery, accounting for 80.70%. In 94 (64.80%) and 125 (86.20%) women, the first stage and second stage of labour lasted < 12 and < 2 h, respectively. About 76 cases (52.40%) were delivered within 12 h after manual intervention. The Apgar score of newborns was mostly 9 (51.70%). Compared with oxytocin-induced labour, balloon-induced labour significantly decreased the first and second delivery time (all P < 0.05). After using balloon, most of the women delivered within 12 h, whilst all women induced by oxytocin did not deliver until 24 h. After artificial intervention of balloon-induced labour, the delivery rate within 12 h was significantly increased (P < 0.05). In addition, compared with oxytocin induction, the natural birth rate and the Apgar score of balloon induction were significantly increased. Conclusion Balloon induction of labour can improve the natural birth rate and neonatal Apgar score. At the same time, it can decrease the first and second delivery time and the time from human intervention to delivery. Balloon induction of labour is worthy of clinical application.
- Balloon /
- Oxytocin /
- Induced labour /
- Pregnancy

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表 1 2组产妇年龄及孕周分布情况比较[M(P₂₅, P₇₅)]

组别	例数	年龄(岁)	孕周(周)
研究组	89	27.00(25.00，30.00)	39.00(38.00，40.00)
对照组	56	27.00(24.00，29.75)	39.00(38.00，40.00)
U值		2 298.000	2 423.000
P值		0.429	0.772

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表 2 2组产妇分娩结局情况分布及差异分析表[例(%)]

项目	类别	引产方式		统计量	P值
项目	类别	球囊	催产素	统计量	P值
宫颈评分(分)	1	4(4.49)	0(0.00)	1 081.000^a	＜0.001
	2	27(30.34)	0(0.00)
	3	55(61.80)	34(60.71)
	4	2(2.25)	22(39.29)
	5	1(1.12)	0(0.00)
第一产程(h)	＜12	73(82.02)	21(37.50)	1 360.000^a	＜0.001
	≥12，＜20	15(16.85)	30(53.57)
	≥20	1(1.13)	5(8.93)
Apgar评分(分)	8	1(1.12)	1(1.79)	1 892.500^a	0.005
	9	38(42.70)	37(66.07)
	10	50(56.18)	18(32.14)
分娩时间(h)	＜12	73(82.02)	3(5.36)	282.500^a	＜0.001
	≥12，＜24	14(15.73)	9(16.07)
	≥24	2(2.25)	44(78.57)
第二产程(h)	＜2	85(95.51)	40(71.43)	16.758^b	＜0.001
	≥2	4(4.49)	16(28.57)
分娩方式	平产	79(88.76)	38(67.86)	9.642^b	0.002
	剖宫产	10(11.24)	18(32.14)
注：^a为U值，^b为χ²值。

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