足月羊水偏少使用COOK双球囊联合缩宫素引产临床的研究.docVIP

足月羊水偏少使用COOK双球囊联合缩宫素引产临床的研究 　　【摘要】 目的：研究足月羊水偏少患者使用COOK双球囊联合缩宫素进行引产的临床效果。方法：选择2014年7月-2015年10月，在本院就诊的200例符合引产条件的足月妊娠羊水偏少产妇作为研究对象，将其按照随机数字表法分为观察组和对照组。观察组采用COOK双球囊联合缩宫素引产的方法，对照组直接给予缩宫素2.5 U加入0.9%氯化钠溶液500 mL静滴（专人负责、依宫缩调节）。分娩过程中观察两组宫颈Bishop评分变化、第一产程时间、剖宫产率、新生儿Apgar评分、新生儿窒息率、产后出血等情况。结果：两组产妇经过治疗后，观察组宫颈Bishop评分和新生儿Apgar评分显著高于对照组（P0.05）；观察组剖宫产率、产后出血量及新生儿窒息率显著低于对照组（P0.05）；观察组第一产程时间显著短于对照组，差异有统计学意义（P0.05）。结论：针对足月羊水偏少的产妇采用COOK双球囊联合缩宫素的引产方式，能够有效提高引产的有效性、安全性及围生儿的结局质量，促进自然分娩，降低剖宫产率，值得推广使用。 　　【关键词】 足月羊水偏少； COOK双球囊； 缩宫素； 引产 　　【Abstract】 Objective：To study the clinical effect of term amniotic fluid fewer patients using COOK double balloon and Oxytocin induced labor.Method：From July 2014 to October 2015，200 cases in our hospital in line with the full-term pregnancy induced labor conditions of the amniotic fluid fewer women were selected as the research objects，they were randomly divided into the observation group and the control group.The observation group was treated with COOK double balloon joint Oxytocin induced labor，the control group was given Oxytocin 2.5 U join 0.9% Sodium Chloride Injection 500 mL drip（specialist was responsible for，in accordance with the contractions regulation）.In the process of childbirth pregnant subjects cervical Bishop score changes，first time labor， cesarean section rate and neonatal Apgar score，rate of neonatal asphyxia，postpartum hemorrhage and other details of two groups were observed.Result：The observation group in the maternal cervical Bishop score and neonatal Apgar score were significantly higher than those of the control group（P0.05）.Cesarean delivery rate，postpartum blood loss and neonatal asphyxia rate of the observation group were significantly lower than those of the control group（P0.05）.The first labor time of the observation group was significantly shorter than that of the control group（P0.05）.Conclusion：According to the term of the amniotic fluid of fewer maternal COOK double balloon joint Oxytocin induced labor can effectively improv