欣普贝生和双球囊在羊水过少足月引产中的比较

摘要

目的 比较两种不同方法在羊水过少足月引产中的应用.方法 选取河北省唐山市丰南区妇幼保健院于2014年3月至2016年4月期间收治的222例符合引产指征的孕产妇临床资料进行回顾性分析,其中102患者采用欣普贝生进行引产,划分为欣普贝生组;另外120例患者采用双球囊进行引产,划分为球囊组.分析比较两组孕产妇的分娩方式、促宫颈成熟效果以及妊娠结局和并发症等情况.结果 球囊组孕产妇的总有效率为100.00%,显著高于欣普贝生组孕产妇的89.22%(χ2=13.616,P<0.05).两组孕产妇的Apgar评分新生儿体重、产后出血量均无显著性差异(t值分别为1.293、1.002、1.224,均P>0.05)、产钳助产率无显著性差异(χ2=3.283,P>0.05).球囊组孕产妇的第一产程时间为(6.29±2.18)h,显著低于欣普贝生组的(10.31±3.29)h,两组数据比较差异具有统计学意义(t=10.871,P<0.05).球囊组孕产妇的阴道分娩率为82.50%,显著高于欣普贝生组的65.69%(χ2=8.264,P<0.05);球囊组孕产妇的剖宫产率为17.50%,显著低于欣普贝生组的34.31%(χ2=8.264,P<0.05).欣普贝生组孕产妇中有4例(3.92%)出现引产并发症,而球囊组孕产妇中有5例(4.17%)出现引产并发症,两组数据比较差异不具有统计学意义(χ2=0.009,P>0.05).结论 双球囊在羊水过少足月引产中的引产效果显著优于欣普贝生,并且不增加母婴并发症的出现,值得在临床上加以推广使用.%Objective To compare the application of two different methods in labor induction of term pregnancy for oligohydramnios.Methods Clinical data of 222 pregnant women with indications of induced labor admitted in Tangshan Fengnan District Maternal and Child Health Care Hospital from March 2014 to April 2016 were selected for retrospective study.Among them, 102 patients received labor induction with hin propess and divided into hin propess group.The other 120 patients underwent induced labor with double balloon and divided into balloon group.Delivery mode, effect on cervical maturity stimulation, pregnancy outcome and complications in two groups were compared and analyzed.Results Total effective rate in balloon group was 100.00%, which was significantly higher than that in hin propess group (89.22%) (χ2=13.616, P<0.05).Maternal Apgar score, neonatal weight, and amount of postpartum hemorrhage volume in two groups had no significant difference (t value was 1.293, 1.002 and 1.224, respectively, all P>0.05).Forceps delivery rate was not significantly different (χ2=3.283, P>0.05).First stage of labor in balloon group was 6.29±2.18 h, which was significantly shorter than in hin propess group (10.31±3.29 h) with statistically significant difference (t=10.871, P<0.05).Vaginal delivery rate in balloon group was 82.50%, which was significantly higher than that in hin propess group (65.69%) (χ2=8.264, P<0.05).Cesarean section rate in balloon group was 17.50%, and it was significantly lower than that in hin propess group (34.31%) (χ2=8.264, P<0.05).Four cases (3.92%) in hin propess group and 5 (4.17%) in balloon group had complications of induced labor, but difference between two groups had no statistical significance (χ2=0.009,P>0.05).Conclusion Effect of double balloon on oligohydramnios full-term labor induction is significantly better than that of hin propess, and it does not increase maternal and infantal complications and is worth popularizing in clinical use.