水囊联合缩宫素与单用缩宫素在足月妊娠引产中的效果比较

Effect comparison of the water sac combined with oxytocin and oxytocin in term pregnancy induced labor

目的 分析比较水囊联合缩宫素与单用缩宫素对足月妊娠引产的效果,为临床足月妊娠引产提供理论指导与依据。方法 选取2015年6月~2016年6月我院收治的有引产指征的单胎、头位、宫颈Bishop评分〈7分的100例足月妊娠孕妇,按照入院时间将其分成两组：2015年6~12月收治的孕妇为对照组,2016年1~6月收治的孕妇为观察组,每组各50例。观察组应用水囊联合缩宫素进行引产,对照组单纯采用缩宫素进行引产,分析比较两组孕妇的引产效果。结果 引产前两组孕妇的宫颈Bishop评分比较,差异无统计学意义（P〉0.05）;引产12 h后,观察组的宫颈Bishop评分高于对照组,差异有统计学意义（P〈0.05）。观察组引产至临产的时间、第一产程及总产程明显短于对照组,差异均有统计学意义（P〈0.05）。观察组的产后出血量明显少于对照组,差异有统计学意义（P〈0.05）。观察组的引产有效率及阴道分娩率均高于对照组,剖宫产率低于对照组,差异有统计学意义（P〈0.05）。结论 水囊联合缩宫素对足月妊娠孕妇引产的效果优于单用缩宫素,能够提高孕妇的阴道分娩率,降低剖宫产率,值得临床推广使用。

Objective To analyze and compare the effect of water sac combined with oxytocin and oxytocin alone on term pregnancy induced labor, provide theoretical guidance and basis for induced labor for full term pregnancy in clinic. Methods From June 2015 to June 2016,100 pregnant women of single birth,pole position,cervical Bishop score〈7 scores in our hospital were selected,and they were divided into two groups according to the date of admission： pregnant women from June to December 2015 were selected as control group,and pregnant women from January to June 2016 were selected as observation group,50 cases in each group.The observation group was given the water sac combined with oxytocin during the labor induction,and the control group was only given the oxytocin during the induced labor.The effect of induced labor of pregnant women was compared between the two groups.Results The cervical Bishop score of pregnant women in the two groups before induced labour had no statistically significant difference （P〉0.05）;12 h after induced labor, cervical Bishop score of the observation group was higher than that of the control group,the difference was statistically significant （P〈0.05）.Time of induced labor to give birth,first stage of labor,total stage of labor of the observation group was shorter than those of the control group,the difference was statistically significant （P〈0.05）.The effective rate of induced labor in the observation group,rate of vaginal delivery was higher than the control group,rate of ce- sarean delivery was lower than that of the control group,the difference was statistically significant （P〈0.05）.Conclusion Application of water sac combined with oxytociu in the full-term pregnancy induced labor is better than oxytocin alone, can improve the rate of vaginal delivery of pregnant women,decrease cesarean section rate,it is worthy of clinical appli- cation.