宫颈球囊在瘢痕子宫再次妊娠促宫颈成熟中的临床效果

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Abstract Objective To investigate the clinical effects of cervical balloon in the treatment of cervical pregnancy with scar uterus. Methods From July 2013 to June 2016, 118 pregnant women with uterine scar pregnancy were selected in Xingtai People′s Hospital and were equally divided into observation group and the control group accorded to the random envelope drawing principle, 59 women in each group. The observation group was given cervical balloon treatment, the control group was given oxytocin treatment, the effectiveness and safety of the two groups were recorded. Results There was no significant difference compared in age, gestational age, body mass index (BMI), amniotic fluid index and Bishop scores between the two groups (P > 0.05). The total effective rate of the observation group and the control group was 98.3% and 88.1%, respectively, the total effective rate of the observation group was significantly higher than that of the control group, and the differences were significantly (P ＜ 0.05). The neonatal weight and 1 min Apagr score in the observation group were (3278.42±342.91) g and (9.23±0.28) points, respectively, and the control group were (3231.40±401.49) g and (9.18±0.41) points, had no statistically significant difference between the two groups (P > 0.05). The first and second stage of labor times in the observation group were significantly shorten than the control group, and the differences were statistically significant (P ＜ 0.05); the natural childbirth rate in the observation group was significantly higher than the control group, and the differences were statistically significant (P ＜ 0.05); while the postpartum hemorrhage, puerperal infection, soft birth canal laceration, amniotic fluid contamination and other complications in the observation group were significantly lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Compared with oxytocin, cervical balloon for uterine scar pregnancy can play more effective role in promoting cervical ripening, it has no significant adverse effects on the newborn, it can shorten the production process, improve the rate of natural childbirth, reduce abortion complications, so it is worthy of further promotion.

Key words： Oxytocin Cervical balloon Scar uterus Cervical ripening Complication

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YIN Fang LI Jinxia. The clinical effects of cervical balloon in the treatment of cervical pregnancy with scar uterus[J]. 中国医药导报, 2018, 15(2): 75-78.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I2/75

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