不同容量水囊单腔/双腔水囊引产在足月妊娠促宫颈成熟中的应用效果比较

侯丽英

[摘要] 目的 评析在足月妊娠促宫颈成熟中采用不同容量、不同水囊的应用效果。方法 方便选择2018年6月—2020年4月该院接诊的足月妊娠产妇100例，使用随机数字表法将患者平均分为单腔组（150 mL水囊）与双腔组（80 mL水囊），将两组孕妇的宫颈成熟度和整体引产效果进行对比。结果 单腔组促宫颈成熟Bishop评分（8.52±3.25）分、新生儿Apgar评分（8.44±0.65）分高于双腔组（6.58±2.12）分、（8.25±1.51）分，差异有统计学意义（t=3.535、5.118，P<0.05）;两组促宫颈成熟有效率相近，差异无统计学意义（P>0.05）;单腔组的产后出血量大于双腔组，总产程时间短于双腔组（P<0.05）。两组体温、白细胞、中性粒细胞百分比相比差异无统计学意义（P>0.05）。结论 在足月妊娠促宫颈成熟中采用不同容量水囊均可以取得显著成效，150 mL水囊的促宫颈成熟效果更好，水囊取出时宫颈软化及宫口扩张大小更佳;80 mL双球囊水囊位置固定良好，不易引起水囊易位，导致胎盘早剥、增加感染等，安全性高，两者值得在临床上推广使用。

[关键词] 足月妊娠;宫颈成熟;不同水囊;引产效果;产后出血

[中图分类号] R719.3          [文獻标识码] A          [文章编号] 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.