[1]罗春燕,胡红英,徐豆豆.宫颈扩张球囊联合间苯三酚对瘢痕子宫晚期妊娠孕妇宫颈成熟效果及产后免疫功能的影响研究[J].医学信息,2025,38(12):95-98,103.[doi:10.3969/j.issn.1006-1959.2025.12.019]
　LUO Chunyan,HU Hongying,XU Doudou.Effect of Cervical Dilatation Balloon Combined with Phloroglucinol on Cervical Ripening and Postpartum Immune Function in Pregnant Women with Scarred Uterus in Late Pregnancy[J].Journal of Medical Information,2025,38(12):95-98,103.[doi:10.3969/j.issn.1006-1959.2025.12.019]
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宫颈扩张球囊联合间苯三酚对瘢痕子宫晚期妊娠孕妇宫颈成熟效果及产后免疫功能的影响研究()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年12期
页码:
95-98,103
栏目:
论著
出版日期:
2025-06-15

文章信息/Info

Title:
Effect of Cervical Dilatation Balloon Combined with Phloroglucinol on Cervical Ripening and Postpartum Immune Function in Pregnant Women with Scarred Uterus in Late Pregnancy
文章编号:
1006-1959（2025）12-0095-05
作者:
罗春燕1; 胡红英2; 徐豆豆1
信丰县人民医院妇科1，产科2，江西 信丰 341600
Author(s):
LUO Chunyan1;  HU Hongying2;  XU Doudou1
Department of Gynecology1, Department of Obstetrics2, Xinfeng County People’s Hospital, Xinfeng 341600, Jiangxi, China
关键词:
宫颈扩张球囊; 间苯三酚; 瘢痕子宫; 晚期妊娠; 宫颈成熟; 免疫功能
Keywords:
Cervical dilation balloon;  Phloroglucinol;  Scarred uterus;  Late pregnancy;  Cervical maturity;  Immune function
分类号:
R717
DOI:
10.3969/j.issn.1006-1959.2025.12.019
文献标志码:
A
摘要:
目的 探讨宫颈扩张球囊联合间苯三酚对瘢痕子宫晚期妊娠孕妇宫颈成熟效果及产后免疫功能的影响。方法 选取2022年1月-2023年12月信丰县人民医院收治的瘢痕子宫晚期妊娠孕妇66例作为研究对象，通过随机数字表法分为研究组和对照组，每组33例。对照组给予宫颈扩张球囊引产，研究组在对照组基础上联合间苯三酚引产。比较两组产程时间（临产时间、第1产程时间、第2产程时间、第3产程时间、总产程时间）、产妇分娩方式（自然分娩、剖宫产）、妊娠结局（产后出血、新生儿窒息、胎儿窘迫）、引产出血情况、免疫功能[免疫球蛋白免疫球蛋白A（IgA）、免疫球蛋白G（IgG）、免疫球蛋白M（IgM）]、宫颈Bishop评分、促宫颈成熟效果。结果 研究组临产时间、第1产程、第2产程、第3产程、总产程均短于对照组（P＜0.05）。研究组自然分娩率高于对照组，而剖宫产率、新生儿窒息、产后出血、胎儿窘迫发生率低于对照组（P＜0.05）。研究组产妇产后出血量平均为（203.52±32.51）ml，低于对照组产后出血量（271.52±38.25）ml（P＜0.05）。研究组IgG、IgA、IgM水平高于对照组（P＜0.05）。研究组宫颈Bishop评分高于对照组，促宫颈成熟有效率高于对照组（P＜0.05）。结论 宫颈扩张球囊联合间苯三酚在瘢痕子宫晚期妊娠孕妇中的应用效果确切，能够缩短产程时间，提高自然分娩率，改善妊娠结局以及产妇免疫功能，减少产后出血量，提高促宫颈成熟效果，值得临床应用。
Abstract:
Objective To investigate the effect of cervical dilatation balloon combined with phloroglucinol on cervical ripening and postpartum immune function in pregnant women with scarred uterus in late pregnancy. Methods A total of 66 pregnant women with scarred uterus admitted to Xinfeng County People’s Hospital from January 2022 to December 2023 were selected as the research objects. They were divided into study group and control group by random number table method, with 33 pregnant women in each group. The control group was given cervical dilatation balloon induced labor, and the study group was combined with phloroglucinol induced labor on the basis of the control group. The labor time (labor time, first labor time, second labor time, third labor time, total labor time), maternal delivery mode (natural delivery, cesarean section), pregnancy outcome (postpartum hemorrhage, neonatal asphyxia, fetal distress), induced labor bleeding, immune function [immunoglobulin immunoglobulin A (IgA), immunoglobulin G (IgG), immunoglobulin M (IgM)], cervical Bishop score, and cervical ripening effect were compared between the two groups. Results The labor time, first stage of labor, second stage of labor, third stage of labor and total stage of labor in the study group were shorter than those in the control group (P<0.05). The natural delivery rate of the study group was higher than that of the control group, while the cesarean section rate, neonatal asphyxia, postpartum hemorrhage and fetal distress were lower than those of the control group (P<0.05). The average amount of postpartum hemorrhage in the study group was (203.52±32.51)ml, which was lower than (271.52±38.25)ml in the control group (P<0.05). The levels of IgG, IgA and IgM in the study group were higher than those in the control group (P<0.05). The cervical Bishop score of the study group was higher than that of the control group, and the effective rate of promoting cervical ripening was higher than that of the control group (P<0.05). Conclusion Cervical dilatation balloon combined with phloroglucinol is effective in pregnant women with late pregnancy in scar uterus, which can shorten the labor time, improve the natural delivery rate, improve the pregnancy outcome and maternal immune function, reduce the amount of postpartum hemorrhage, and improve the effect of promoting cervical ripening. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01