摘要
目的探讨足月妊娠女性宫颈扩张球囊引产效果的影响因素。方法回顾性分析于中牟县妇幼保健院2018年2月至2020年5月行宫颈扩张球囊引产的118例足月妊娠引产产妇的临床资料,根据引产结果分为有效组和无效组。比较两组临床资料和实验室指标[卵泡刺激素(FSH)、黄体生成素(LH)、孕酮(P)、雌二醇(E_(2))、催乳素(PRL)、空腹血糖(FBG)、餐后2 h血糖(2hBG)、糖化血红蛋白(GHb)],Logistic回归分析影响足月妊娠女性宫颈扩张球囊引产效果的相关因素。结果118例产妇,引产无效共20例(16.95%),引产有效98例(83.05%)。引产无效组年龄、体重指数(BMI)大于引产有效组,放球囊12 h后宫颈Bishop评分低于引产有效组,初产妇产比、合并妊娠期高血压(HDCP)患者占比多于引产有效组,球囊放置时间短于引产有效组,收缩压(SBP)、舒张压(DBP)高于引产有效组,差异有统计学意义(P<0.05)。两组血清FSH、LH、P、E_(2)、PRL水平比较,差异无统计学意义(P>0.05)。经Logistic回归分析显示,BMI>25 kg/m^(2),放球囊12 h后宫颈Bishop评分≤6分、初产妇、球囊放置时间≤12 h是导致足月妊娠女性宫颈扩张球囊引产无效的危险因素,差异有统计学意义(OR>1,P<0.05)。结论高龄孕妇、BMI>25kg/m^(2),放球囊12 h后宫颈Bishop评分≤6分、初产妇、球囊放置时间≤12 h、合并HDCP、SBP、DBP高是导致足月妊娠女性宫颈扩张球囊引产无效的危险因素。
Objective To investigate the influencing factors of cervical dilatation balloon induced labor in full-term pregnant women.Methods Retrospective analysis of the clinical data of 118 full-term pregnant women with induced labor who underwent cervical balloon dilatation from February 2018 to May 2020 in Zhongmu Maternal and Child Health Hospital.According to theResults of induced labor,they were divided into effective group and ineffective group.The clinical data and laboratory indicators[follicle stimulating hormone(FSH),luteinizing hormone(LH),progesterone(P),estradiol(E_(2)),prolactin(PRL),fasting blood glucose(FBG),postprandial 2h blood glucose(2hBG),and glycosylated hemoglobin(GHb)]were compared between the two groups.Logistic regression analysis was used to analyze the related factors affecting the induction effect of cervical dilatation balloon in full-term pregnant women.Results Of the 118 pregnant women,20 cases(16.95%)had ineffective labor induction,and 98 cases(83.05%)had effective labor induction.The age and body mass index(BMI)of the ineffective induction group were greater than those of the effective induction group.After 12 hours of balloon placement,the cervical Bishop score was lower than that of the effective induction group.The proportion of women to women at first birth and patients with gestational hypertension(HDCP)was higher than that of the effective induction group.The balloon placement time was shorter than that of the effective induction group.The systolic blood pressure(SBP)and diastolic blood pressure(DBP)were higher than those of the effective induction group,with a statistical significant difference(P<0.05).There was no statistical significant difference between the two groups in serum FSH,LH,P,E_(2),and PRL levels(P>0.05).Logistic regression analysis showed that BMI>25 kg/m^(2),cervical Bishop score≤6 points after 12 hours of balloon placement,primipara,and balloon placement time≤12 hours were risk factors for invalid induction of labor by cervical dilatation balloon in full-term p
作者
李书芳
LI Shufang(Department of Obstetrics and Gynecology,Zhongmou Maternal and Child Health Hospital,Zhengzhou Henan 451450,China)
出处
《临床研究》
2023年第12期71-74,共4页
Clinical Research
关键词
足月妊娠
宫颈扩张球囊
高龄孕妇
体重指数
宫颈BISHOP评分
球囊放置时间
full-term pregnancy
cervical dilation balloon
older pregnant women
body mass index
cervical bishop score
balloon placement time
