低位小水囊在妊娠晚期促宫颈成熟引产中的疗效分析

Observation of the Effect of Low Position Small Water Bag in Promoting Cervical Ripening Induced Labor in Late Pregnancy

目的分析低位小水囊在妊娠晚期促宫颈成熟的临床效果。方法选取该院2015年1—12月具有引产指征,宫颈Bishop评分≤6分的产妇200例,随机分成两组,研究组100例,先放置小水囊于宫颈内口处12 h,未临产者,无宫缩或宫缩不规则,即予缩宫素静脉点滴。对照组100例,直接进行静脉点滴缩宫素,观察两组宫颈Bishop评分及分娩成功率。结果引产前,低位小水囊组Bishop评分(2.47±0.78)分,缩宫素组(2.51±0.89)分,两组宫颈Bishop评分无统计学意义(P>0.05);引产后,低位小水囊组Bishop评分(6.26±2.75)分,6.26±2.75评分(4.59±0.92)分,两组宫颈Bishop评分差异有统计学意义(P<0.05)。在引产有效率的比较上,低位小水囊引产组有效率97%,高于对照组60%,组间差异有统计学意义(P<0.05)。结论低位小水囊比缩宫素促宫颈成熟效果肯定,安全可靠,低位小水囊引产有较好的临床效果,切实可行,值得推广应用。

Objective To observe the low small bladders in the third trimester cervical ripening clinical effect. Methods In our hospital from January 2015 to December 2015 has induced labor indications, Bishop score ≤6 points maternal 200 cases were randomly divided into two groups, 100 cases of the study group, the first small bladders placed in the cervix at 12 hours, not in labor, no contractions or irregular contractions, oxytocin intravenous verdict. A control group of 100 cases of direct intravenous oxytocin, Bishop score were observed and delivery success rate. Results Before the induction of labor, low water sac group Bishop score(2.47±0.78) and oxytocin group score(2.51±0.89). Two groups of cervical Bishop score had no statistical significance(P > 0.05); after the induction of labor, low water sac group Bishop score(6.26 ±2.75), oxytocingroup(459 ±0.92). Two groups of cervical Bishop score was statistically significant(P <0.05). In the induction of labor efficiency, the low rate of small water sac was 97%, higher than the control group 60%,the difference between the groups was statistically significant(P < 0.05). Conclusion Low small bladders than oxytocin to promote cervical ripening effect is certainly safe, reliable, low small bladders induction have better clinical results and practical, should be widely applied.