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目的:研究宫颈扩张双球囊与小剂量的缩宫素用于足月妊娠引产中的价值。方法:在2014年1月至2017年2月来河源市妇幼保健院产科引产的足月妊娠产妇中选出180例随机分组,对照组产妇给予小剂量的缩宫素引产,观察组产妇给予宫颈扩张双球囊引产,对比两组产妇的临产时间、总产程、宫颈成熟度、分娩方式等指标值。结果:观察组产妇的临产时间、总产程短于对照组,治疗12 h的宫颈成熟度评分更高,且阴道分娩率83.33%比对照组的60.0%高,差异具有统计学意义(P<0.05);观察组新生儿的并发症发生率、出生1 min的Apgar评分与对照组比较,差异无统计学意义(P>0.05)。结论:宫颈扩张双球囊用于足月妊娠引产中安全性高,对新生儿的影响小,有助于缩短临床的时间和产程时间,保障分娩的顺利进行。
OBJECTIVE: To investigate the value of double dilatation of the cervix and small doses of oxytocin for induction of term labor. Methods: From January 2014 to February 2017, 180 cases of full-term pregnant women of obstetric induction of labor in Heyuan Municipal Maternal and Child Health Hospital were enrolled. The control group was given a small dose of oxytocin and the observation group was given cervix Double balloon dilatation, compared with two groups of maternal labor time, total labor, cervical maturity, mode of delivery and other indicators. Results: In the observation group, the labor time and the total length of labor in the observation group were shorter than those in the control group. Cervical maturation score was higher at 12 h after treatment and the vaginal delivery rate was 83.33% higher than that of the control group (60.0%), with significant difference (P <0.05 ). The incidence of neonatal complications in the observation group was not significantly different from that in the control group (P> 0.05). Conclusions: Double dilatation of cervical dilatation for full-term pregnancy induction of labor safe, small impact on newborns, help to shorten the clinical time and labor duration, to ensure the smooth progress of childbirth.