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目的探讨宫颈球囊和催产素促宫颈成熟对孕妇妊娠结局的影响。方法对惠州市中心人民医院第一分院2012年3月-2014年3月收治的伴有引产指征的初产妇进行抽样,选取68例孕妇随机分成两组,对照组予以催产素促宫颈成熟,实验组应用宫颈扩张球囊促宫颈成熟,观察两组孕妇促宫颈成熟前后宫颈Bishop评分,并分析分娩方式、妊娠结局及并发症发生情况。结果 1实验组宫颈Bishop评分(8.76±2.34)分,与对照组(6.12±1.32)分比较差异有统计学意义(P<0.05),宫颈成熟率100.0%、阴道分娩率91.18%,与对照组70.59%、52.94%相比差异均有统计学意义(P<0.05)。2实验组第一产程(396.96±123.23)min、总产程时间(442.47±129.1)min,与对照组(529.71±116.92)min、(554.43±116.28)min相比差异均有统计学意义(P<0.05),第二产程、第三产程时间与对照组相比无统计学意义(P>0.05。3母婴结局,两组助产率、产妇产后出血量及新生儿出生后5 min Apgar评分、出生体重、窒息率均无统计学意义(P>0.05)。结论宫颈扩张球囊促宫颈成熟效果优于催产素,引产成功率高,有临床推广价值。
Objective To investigate the effects of cervical balloon and oxytocin on the pregnancy outcome of pregnant women. Methods A total of 68 pregnant women were randomly divided into two groups. The control group was given oxytocin to promote cervical ripening, In the experimental group, cervical dilatation balloon was used to promote cervical ripening. The Bishop cervical score before and after cervical ripening was observed in both groups, and the mode of delivery, pregnancy outcome and complications were analyzed. Results 1 The cervical Bishop score (8.76 ± 2.34) in the experimental group was significantly lower than that in the control group (6.12 ± 1.32) (P <0.05), the cervical ripening rate was 100.0% and the vaginal delivery rate was 91.18% 70.59% and 52.94%, respectively (P <0.05). The difference of the first stage of labor (396.96 ± 123.23) min and the total duration of labor (442.47 ± 129.1) min in the experimental group was statistically significant compared with the control group (529.71 ± 116.92) min and (554.43 ± 116.28) min (P < 0.05). There was no significant difference between the second stage of labor and the third stage of labor in the control group (P> 0.05.3 Maternal and Infant outcome, two groups of midwifery rates, postpartum hemorrhage and Apgar score at 5 min after birth) Birth weight and asphyxia rate were not statistically significant (P0.05) .Conclusion Cervical dilatation balloon is better than oxytocin in promoting cervical ripening, high success rate of induction of labor, clinical value.