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目的:前瞻性研究米索前列醇(Miso)、低位水囊(LPWB)及小剂量催产素(OX)静脉滴注3种引产方法的有效性及对母、婴的影响。方法:将124例单胎、头位、、宫颈Bishop评分<5分、足月妊娠初产妇随机分为3组:Miso组41例,LPWB组43例,OX组40例;3种方法引产后,如宫颈Bishop评分≥7分,则行人工破膜术。结果:LPWB组及Miso组较OX组、宫颈Bishop评分<5分显著提高(P<0.001,P<0.01),引产到临产时间明显缩短(P<0.001,P<0.05),但3组间母、婴并发症差异无显著性。结论:对宫颈不成熟孕妇采用LPWB及Miso引产安全、有效、经济,可靠,OX静脉滴注引产不宜作为首选引产方法
OBJECTIVE: To prospectively study the efficacy and adverse effects of three kinds of induction of misoprostol (Misoprostol, low water balloon (LPWB) and low-dose oxytocin (OX)) on mother and infant. Methods: 124 cases of single-fetus, head-head and cervical Bishop score <5 were randomly divided into three groups: 41 in Miso group, 43 in LPWB group and 40 in OX group. The three methods , Such as cervical Bishop score ≥ 7 points, the line of artificial rupture. Results: Compared with OX group and cervical smear group, the Bishop score of LPWB group and Miso group increased significantly (P <0.001, P <0.01) and the time of induction of labor to labor was significantly shorter (P <0.001, P <0. 05), but there was no significant difference between the three groups in the complication of maternal and infant. Conclusion: It is safe, effective, economical and reliable for LPJB and Miso induced labor in immature cervical pregnant women. Oxygen inoculation by OX should not be used as the preferred method of induction of labor