张小林

[摘要]目的 探讨宫颈扩张球囊在产妇促宫颈成熟及引产中的应用效果。方法 选择我院2015年1月～2016年6月收治的140例单胎头位具有引产指征、胎膜完整的产妇患者作为研究对象，采用随机数字表法将其分为观察组与对照组，每组各70例。对照组予以控释地诺前列酮栓，观察组采用宫颈扩张球囊。比较两组产妇宫颈成熟效果、Bishop評分以及分娩结局。结果 观察组宫颈成熟总有效率为95.71%，显著高于对照组的77.14%，差异有统计学意义（P<0.01）；使用宫颈扩张球囊前，两组Bishop评分比较，差异无统计学意义（P>0.05）；使用宫颈扩张球囊后，两组Bishop评分均显著降低，且观察组降低趋势更为明显，差异有统计学意义（P<0.01）；与对照组比较，观察组自然分娩率较高，胎儿窘迫、新生儿窒息、羊水粪染等不良事件发生率较低，差异有统计学意义（P<0.05）。结论 宫颈扩张球囊有利于产妇促宫颈成熟且效果显著，可提高成功引产率，改善妊娠结局，值得临床广泛应用。

[关键词]宫颈扩张球囊；宫颈成熟；引产

[中图分类号] R719.31 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0109-03

Application effect of cervical dilatation balloon in cervical ripening and labor induction of pregnant women

ZHANG Xiao-lin

Department of Obstetrics and Gynecology，Jiujiang Maternal and Child Health Hospital in Jiangxi Province，Jiujiang 332000，China

[Abstract]Objective To investigate the application effect of cervical dilatation balloon in cervical ripening and labor induction of pregnant women.Methods 140 pregnant women with single head position of having labor induction indicators and intact fetal membrane from January 2015 to June 2016 in our hospital were selected as research object，and they were divided into observation group and control group by random number table，70 cases in each group.Control group took controlled release of dinoprostone suppositories，observation group took cervical dilatation balloon.The cervical ripening effects，Bishop scores and delivery outcomes of two groups were compared.Results The total effective rate of cervical ripening of observation group was 95.71%，which was significantly higher than 77.14% of control group （P<0.01）；before the using of cervical dilatation balloon，there was no statistical difference in Bishop scores between two groups （P>0.05）；the Bishop scores of two groups were significantly decreased after the using of cervical dilatation balloon，and descend tendency of observation group was more significant （P<0.01）；compared with the control group，the rate of natural delivery of observation group was higher，and the incidence of fetal distress，neonatal asphyxia，meconium-staining amniotic fluid was lower （P<0.05）.Conclusion Cervical dilatation balloon is beneficial to cervical ripening and has significant effects，it can increase success rate of labor induction and improve delivery outcomes，which is worthy of clinical application.

[Key words]Cervical dilatation balloon；Cervical ripening；Labor induction

目前产科临床中剖宫产率逐年增多，但因剖宫产对产妇及其胎儿的影响较大，不利于产妇分娩后恢复，故如何降低剖宫产率一直是产科临床研究的重点[1]。随着围生医学的进步，发现有效的引产手段可有效降低剖宫产率，提高患者阴道分娩的依从性，但引产存在宫颈不成熟，引产不易成功，甚至危及母儿生命[2-3]。临床常采用催产素干预，但单纯的催产素干预效果并不理想，随着对引产不断的深入研究，子宫颈扩张球囊应运而生，在晚期引产、促宫颈成熟中效果显著[4]。鉴于此，本研究进一步探讨宫颈扩张球囊在产妇促宫颈成熟及引产中的应用效果。现具体报道如下。

1资料与方法

1.1 一般资料

选择2015年1月～2016年6月我院收治的140例单胎头位具有引产指征、胎膜完整的产妇患者作为研究对象，本研究经过我院医学伦理委员会批准。……