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目的:探讨宫颈扩张球囊和米索前列醇促妊娠晚期宫颈成熟的临床效果。方法:回顾性分析96例于我院产科住院分娩且伴有引产指征的初产妇的临床资料,根据治疗方法的差异分为球囊组和米索前列醇组,比较两组妊娠晚期宫颈成熟情况及分娩结局、新生儿情况等资料。结果:宫颈扩张球囊和米索前列醇均能有效促进宫颈成熟,提高自然分娩率;球囊组孕妇经治疗后其宫颈Bishop评分、促宫颈成熟显效率及有效率较米索前列醇组显著升高(P<0.05),球囊组孕妇产后出血量显著低于米索前列醇组(P<0.05),而新生儿体重及新生儿Apgar评分组间差异无统计学意义(P>0.05)。结论:宫颈扩张球囊用于促宫颈成熟较米索前列醇效果更好,不仅能显著改善宫颈评分,降低剖宫产率,并能避免不良反应的发生。
Objective: To investigate the clinical effect of cervical dilatation balloon and misoprostol to promote late pregnancy cervical ripening. Methods: A retrospective analysis of 96 cases of obstetrics and gynecology in our hospital childbirth and induction of labor indications of primipara clinical data, divided into balloon group and misoprostol group according to the difference in treatment methods, compared two groups of late pregnancy cervical ripening Conditions and delivery outcomes, newborns and other information. Results: Both cervical dilatation balloon and misoprostol could effectively promote cervical ripening and improve the rate of natural childbirth. Compared with misoprostol group, the cervical Bishop score, cervical ripening rate and effective rate in the balloon group were significantly higher (P <0.05). The amount of postpartum hemorrhage in the balloon group was significantly lower than that in the misoprostol group (P <0.05), while there was no significant difference in neonatal weight and neonatal Apgar score (P> 0.05) . Conclusions: Cervical dilation balloon is more effective than misoprostol in promoting cervical ripening. It not only can improve cervical score significantly, reduce cesarean section rate, but also avoid adverse reactions.