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目的观察低位小水囊促宫颈成熟的临床效果。方法选择具有引产指征Bishop宫颈评分≤6分的产妇133例,随机分为两组。水囊组71例先放置小水囊于宫颈内口处12h,未自然临产者,无宫缩或宫缩不规则,即予缩宫素静脉点滴。对照组62例直接进行静脉滴注缩宫素。观察两组宫颈Bishop评分、引产开始至临产时间、分娩方式、总产程、产后出血量和Apgar评分等。结果水囊组和对照组在引产效果、分娩时间、产后出血和阴道分娩率方面有显著差异。结论小水囊比缩宫素促宫颈成熟效果明显,小水囊引产有较好的临床效果。
Objective To observe the clinical effect of low water sac promoting cervical ripening. Methods 133 maternal women with Bishop cervical score≤6 were selected and randomly divided into two groups. 71 cases of water sac group first place small water sac in the mouth of the cervix 12h, not natural labor, no contractions or contractions irregular, that is to oxytocin intravenous drip. Control group of 62 cases directly to the oxytocin intravenous infusion. The Bishop cervical score, induction of labor to labor time, mode of delivery, total labor, postpartum hemorrhage and Apgar score were observed. Results The hydrocephalus group and the control group were significantly different in induction of labor, childbirth time, postpartum hemorrhage and vaginal delivery rate. Conclusions The small water hygroscopicus is more effective than oxytocin in promoting cervical ripening, and the small water capsule has a good clinical effect.