CAJ | 학술논문

目的：总结分析一次性球囊宫颈扩张器在初产妇足月妊娠计划分娩中的应用效果。方法选择2013年1月至2015年3月有计划分娩指征的1500例足月妊娠初产妇为研究组对象，给予一次性球囊宫颈扩张器辅助分娩，选取同期有阴道分娩指征的1000例初产妇为对照组，给予缩宫素辅助分娩。分析比较两组孕妇就分娩时期第一产程、阴道分娩率、阴道助产率、新生儿 Apgar 评分、产后出血、宫内感染、产褥病率等指标的差异。结果研究组促宫颈成熟有效率、阴道分娩成功率，均明显高于对照组（98.27%比88.00%；79.66%比69.33%），且第一产程时间明显短于对照组（8.4±1.6 h 比10.53±1.30 h），差异具有统计学意义（ P ﹤0.05）。两组阴道助产率、产后出血发生率、新生儿 Apgar评分、宫内感染、产褥病率发生率之间差异无统计学意义（ P ﹥0.05）。结论与传统的缩宫素分娩相比，一次性球囊宫颈扩张器促宫颈成熟效果好，能缩短产程，提高阴道分娩率，且不增加阴道手术助产率、新生儿 Apgar 评分、产后出血、宫内感染、产褥病率等并发症的发生，且经济实用，值得推广应用。
목적：총결분석일차성구낭궁경확장기재초산부족월임신계화분면중적응용효과。방법선택2013년1월지2015년3월유계화분면지정적1500례족월임신초산부위연구조대상，급여일차성구낭궁경확장기보조분면，선취동기유음도분면지정적1000례초산부위대조조，급여축궁소보조분면。분석비교량조잉부취분면시기제일산정、음도분면솔、음도조산솔、신생인 Apgar 평분、산후출혈、궁내감염、산욕병솔등지표적차이。결과연구조촉궁경성숙유효솔、음도분면성공솔，균명현고우대조조（98.27%비88.00%；79.66%비69.33%），차제일산정시간명현단우대조조（8.4±1.6 h 비10.53±1.30 h），차이구유통계학의의（ P ﹤0.05）。량조음도조산솔、산후출혈발생솔、신생인 Apgar평분、궁내감염、산욕병솔발생솔지간차이무통계학의의（ P ﹥0.05）。결론여전통적축궁소분면상비，일차성구낭궁경확장기촉궁경성숙효과호，능축단산정，제고음도분면솔，차불증가음도수술조산솔、신생인 Apgar 평분、산후출혈、궁내감염、산욕병솔등병발증적발생，차경제실용，치득추엄응용。
Objective To analyze the effect of application of disposable balloon dilator in early maternal birth in full - term pregnancy program. Methods A planned delivery of 1,500 cases of full - term pregnancy indicationprimiparae during January 2013 to March 2015 were al-located in study group,one - time cervical dilatation balloon - assisted delivery had been applied for them,and at the same period,1 000 cases of vaginal delivery indication primiparae were allocated in control group received oxytocin assisted delivery. The difference in birth during first stage of labor,vaginal delivery rate,Apgar scores,postpartum hemorrhage,intrauterine infection,puerperal morbidity and other indicators were ana-lyzed and compared between these 2 groups. Results The cervical ripening efficiency,successful rate of vaginal delivery in patients of study group were significantly higher than those of patients in control group(98. 27% vs. 88. 00% ;79. 66% vs. 69. 33% ),and the first stage of labor was significantly shorter than that ofcontrol group(8. 4 ± 1. 6 h vs. 10. 53 ± 1. 30 h),the difference was statistically significant( P ﹤ 0. 05 ). The difference invaginal delivery rate,incidence of postpartum hemorrhage,neonatal Apgar scores,intrauterine infection andpuerperalism morbidity be-tween these 2 groups was not statistically significant( P ﹥ 0. 05). Conclusion In comparisonwith traditional birth with oxytocin,the application of disposable,balloon dilator for ripening of cervix can shorten thelabor time,increase the rate of vaginal delivery,without increase the delivery rate of vaginal surgery,Apgar scores,postpartum hemorrhage,uterine infection and puerperal morbidity,with high economical value. It should be introduced for clinical application.