CAJ | 학술논문

目的：探讨并比较子宫颈扩张球囊与地诺前列酮栓用于足月羊水偏少引产的有效性及安全性。方法选择2012年6月至2013年1月嘉兴市妇幼保健院96例足月妊娠羊水偏少孕妇作为研究对象，随机分为两组，采用子宫颈扩张球囊引产为实验组，使用地诺前列酮栓药物引产为对照组，每组各48例。比较两组促宫颈成熟、产程进展、分娩方式、产妇及围产儿的一般情况。结果与地诺前列酮栓组相比，子宫颈扩张球囊引产在缩短第一产程（t＝3．682）、第二产程（t＝7．033）的促宫颈成熟有效率（χ2＝1．792）、降低剖宫产率（χ2＝4．381）方面疗效显著（均P＜0．05），但对造成胎儿窘迫发生率（χ2＝1．344）、新生儿窒息率（0例）及产后出血量（t＝0．505）方面，两组比较均无显著性（均P＞0．05）。结论子宫颈扩张球囊应用于羊水偏少足月妊娠产妇的引产具有显著的临床疗效，安全性高，值得临床应用。
목적：탐토병비교자궁경확장구낭여지낙전렬동전용우족월양수편소인산적유효성급안전성。방법선택2012년6월지2013년1월가흥시부유보건원96례족월임신양수편소잉부작위연구대상，수궤분위량조，채용자궁경확장구낭인산위실험조，사용지낙전렬동전약물인산위대조조，매조각48례。비교량조촉궁경성숙、산정진전、분면방식、산부급위산인적일반정황。결과여지낙전렬동전조상비，자궁경확장구낭인산재축단제일산정（t＝3．682）、제이산정（t＝7．033）적촉궁경성숙유효솔（χ2＝1．792）、강저부궁산솔（χ2＝4．381）방면료효현저（균P＜0．05），단대조성태인군박발생솔（χ2＝1．344）、신생인질식솔（0례）급산후출혈량（t＝0．505）방면，량조비교균무현저성（균P＞0．05）。결론자궁경확장구낭응용우양수편소족월임신산부적인산구유현저적림상료효，안전성고，치득림상응용。
Objective To investigate and compare the efficacy and safety of uterine cooker ballon and Dinoprostone for labor induction of term pregnancy with oligohydramnios .Methods From June 2012 to January 2013 96 cases of term pregnancy with oligohydramnios were selected and randomly divided into experimental group with uterine cooker ballon and control group with Dinoprostone .There were 48 cases in each group .Cervical ripening , general progress of labor , delivery mode and maternal and perinatal physical condition were compared between two groups .Results Compared with the control group , the first and second stage of labor could be cut down by uterine cooker ballon (t value was 3.682 and 7.033, respectively).Uterine cooker ballon had great effect on promoting cervical ripening and reducing cesarean section rate (χ2 value was 1.792 and 4.381, respectively, both P <0.05).But there was no significant difference in fetal distress (χ2 =1.344), neonatal asphyxia (0 case) and postpartum hemorrhage (t =0.505) between two groups (all P >0.05). Conclusion Uterine cooker ballon is effective and safe for labor induction of term pregnancy with oligohydramnios , and it is worthy of clinical application .