晚期妊娠低温低位小水囊联合缩宫素引产术临床应用价值

The value of low-position induction of labour with small water bag with low temperature in clinical application

目的探讨低温低位小水囊联合缩宫素引产术在晚期妊娠中的应用价值。方法研究组:低温低位小水囊联合缩宫素引产201例,对照组:传统单纯缩宫素引产196例,比较两种方法对分娩方式的影响以及母婴的预后。结果研究组引产成功率89.6%,剖宫产率19.9%;对照组引产成功率70.4%,剖宫产率29.6%。研究组阴道分娩的总产程明显短于对照组(P<0.05),产妇产时产后并发症两组无明显差异。研究组胎儿窘迫、新生儿窒息率显著低于缩宫素引产组(P<0.05)。结论低温低位小水囊联合缩宫素引产方法简单、效果优于单纯缩宫素引产,降低了剖宫产率,不增加母婴并发症。

Objective To evaluate thevalue of low-position induction of labour with small water bag with low temperature binding oxytocin in clinical application of the terminal pregnancy. Methods The study was a prospective randomized controlled trial of 201 cases of low-position induction of labour with small water bag with low temperature binding oxytocin and 196 cases of traditional simple oxytocin induction, comparing the effect on labour mode and prognosis of the mother and infants. Results The successful induction rate of the study group was 89.6% , cesarean section rate（CSR） was 19.9%. The successful induction rate of the control group was 70. 4%, CSR was 29.6%. The total stage of labour was shorter than the control group（P 〈0. 05 ）. Mother complications had no significant difference. The fetal distress rate and neonatal asphyxia rate were lower in the study group （ P 〈 0. 05 ）. Conclusion Low-position induction of labour with small water bag with low temperature binding oxytocin is an effective and simple method. It reduces CSR and no more complication for mother and infants.