不同容量水囊單腔/雙腔水囊引產在足月妊娠促宮頸成熟中的應用效果比較

侯麗英

[摘要] 目的 評析在足月妊娠促宮頸成熟中采用不同容量、不同水囊的應用效果。方法 方便選擇2018年6月—2020年4月該院接診的足月妊娠產婦100例，使用隨機數字表法將患者平均分為單腔組（150 mL水囊）與雙腔組（80 mL水囊），將兩組孕婦的宮頸成熟度和整體引產效果進行對比。結果 單腔組促宮頸成熟Bishop評分（8.52±3.25）分、新生兒Apgar評分（8.44±0.65）分高于雙腔組（6.58±2.12）分、（8.25±1.51）分，差異有統計學意義（t=3.535、5.118，P<0.05）;兩組促宮頸成熟有效率相近，差異無統計學意義（P>0.05）;單腔組的產后出血量大于雙腔組，總產程時間短于雙腔組（P<0.05）。兩組體溫、白細胞、中性粒細胞百分比相比差異無統計學意義（P>0.05）。結論 在足月妊娠促宮頸成熟中采用不同容量水囊均可以取得顯著成效，150 mL水囊的促宮頸成熟效果更好，水囊取出時宮頸軟化及宮口擴張大小更佳;80 mL雙球囊水囊位置固定良好，不易引起水囊易位，導致胎盤早剝、增加感染等，安全性高，兩者值得在臨床上推廣使用。

[關鍵詞] 足月妊娠;宮頸成熟;不同水囊;引產效果;產后出血

[中圖分類號] R719.3? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2020）09（c）-0068-03

[Abstract] Objective To evaluate the effect of using different volumes and different water sacs in promoting cervical ripening in full-term pregnancy. Methods A total of 100 full-term pregnant women received in the hospital from June 2018 to April 2020 were convenient selected. The patients were divided into single-cavity water sac group and double-cavity water sac group using random number table method. Compare the effects of labor induction. Results The Bishop score （8.52±3.25）points and the apgar score （8.44±0.65）points of the single-chamber group were higher than those of the double-chamber group （6.58±2.12）points and （8.25±1.51）points， the difference was statistically significant（t=3.535，5.118， P<0.05）; the two groups had the similar rate of promoting cervical ripening，and the difference was not statistically significant（P>0.05）; the postpartum hemorrhage of the single cavity group was greater than that of the double cavity group， and the total labor time was shorter than that of the double cavity group（P<0.05）. There was no statistically significant difference in body temperature， white blood cell， and neutrophil percentage between the two groups， and none of them caused obvious symptoms of infection（P>0.05）. One case of water sac translocation occurred in a single-lumen water sac.? Conclusion The use of water sacs of different capacities in full-term pregnancy to promote cervical ripening can achieve significant results. A 150 mL water sac has a better effect on promoting cervical ripening. When the water sac is taken out， the cervix softens and the size of the uterine orifice is better， and in the case of postpartum hemorrhage; the position of the 80 mL double balloon water sac is well fixed， and it is not easy to cause water sac translocation， leading to premature abruption of the placenta， increasing infection， etc， and high safety. Both are worthy of clinical promotion.