王亚云 陈慧娟 吴蕾

    [摘要] 目的 探讨足月妊娠期女性分别引入一次性宫颈扩张球囊(爱婴球囊)与地诺前列酮栓(欣普贝生)对其促宫颈成熟及引产效果的影响。 方法 选取2015年12月～2016年8月于南京医科大学附属无锡妇幼保健院(以下简称“我院”)使用欣普贝生引产的足月妊娠期孕产妇60例作为对照组，选取2016年9月～2017年5月我院接收的使用爱婴球囊引产的足月妊娠期孕产妇60例作为观察组。比较两组促宫颈成熟、引产效果和分娩结局。 结果 观察组促宫颈成熟总有效率高于对照组，差异有高度统计学意义(P < 0.01)。观察组剖宫产率低于对照组，阴道分娩率高于对照组，差异有统计学意义(P < 0.05)。观察组产后出血量少于对照组，总产程短于对照组，新生儿1 min Apgar评分高于对照组，差异均有高度统计学意义(P < 0.01)。 结论 爱婴球囊相较于欣普贝生应用至足月妊娠期女性效果显著，可有效促宫颈成熟，提高引产效果，改善分娩结局，值得推广。

    [关键词] 足月妊娠期；愛婴球囊；欣普贝生；促宫颈成熟；引产效果

    [中图分类号] R714 [文献标识码] A [文章编号] 1673-7210(2018)08(c)-0103-04

    [Abstract] Objective To investigate the effects of single-use cervical dilatation balloon (Aiying balloon) and Dinoprostone suppository (Propess) on cervical ripening and induction of labor. Methods A total of 60 full-term pregnant women induced labour with Propess from December 2015 to August 2016 in Wuxi Maternal and Child Health Hospital， Nanjing Medical University ("our hospital" for short) were selected as control group. Forty-six cases of full-term pregnant women who were induced by the Aiying balloon in our hospital from September 2016 to May 2017 were selected as observation group. The cervical ripening ......