子宫颈扩张球囊联合催产素用于妊娠晚期引产意义探析.docVIP

子宫颈扩张球囊联合催产素用于妊娠晚期引产意义探析 　　[摘要] 目的 探讨子宫颈扩张球囊联合催产素用于妊娠晚期引产的意义。方法 方便选取重庆市开州区人民医院妇产科2016年1月―2017年5月收治的76例妊娠晚期引产孕妇作为研究对象根据方法分组，各有38例。对照组采用催产素进行引产，治疗组实施子宫颈扩张球囊联合催产素引产。比较2组妊娠晚期引产总有效率；第1产程时间、第2产程时间、平均住院时间；引产前后孕妇宫颈BISHOP评分。结果 治疗组妊娠晚期引产总有效率有36例（94.74%）高于对照组29例（76.32%），（P0.05）；引产后治疗组宫颈BISHOP评分（8.78±1.32）分优于对照组（5.29±0.69）分（P0.05）。结论 子宫颈扩张球囊联合催产素用于妊娠晚期引产的效果确切，可有效提高宫颈BISHOP评分，提高引产成功率，缩短第1产程和第2产程时间，缩短引产后住院时间，值得推广。 　　[关键词] 子宫颈扩张球囊；催产素；妊娠晚期引产；意义 　　[中图分类号] R719 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0090-03 　　[Abstract] Objective This paper tries to explore the significance of cervical dilatation combined with oxytocin in the induction of labor in late pregnancy. Methods A total of 76 pregnant women from January 2016 to May 2017 in this hospital were convenient selected and randomly divided into two groups according to different methods， with 38 cases in each group. The control group adopted oxytocin for induction of labor. The treatment group adopted cervical dilated balloon combined with oxytocin. The total effective rate of labor； the first time of labor， the second time of labor， the average length of stay； BISHOP score before and after labor induced of the two groups of late pregnancy were compared. Results The total effective rate was 36 cases（94.74%） in the treatment group， higher than that in the control group of 29 cases（76.32%），（P0.05）；after induction， the BISHOP score was （8.78±1.32）points， better than the control group of（5.29±0.69）points（P0.05）. Conclusion Cervical dilation balloon combined with oxytocin is effective in the induction of labor in late pregnancy， which can effectively improve the cervical BISHOP score， improve the success rate of induction and labor， shorten the first and second labor time， shorten the post-induction hospitalization time， therefore it is worthy of promotion. 　　[Key words] Cervical expansion of the balloon； Oxytocin； Late pregnancy induced labor； Significance 　　妊娠晚期引?a危害性较大，其成功与否的关键在于能否促进宫颈成熟。传统促宫颈成熟多采用催产素静脉滴注，但效果有限[1]。子宫颈扩张球囊是促进成功引产