观察孕足月低位水囊引产、静滴缩宫素联合应用效果

Observation on the effect of low-position water sac induced labor and intravenous drip of oxytocin in full-term pregnancy

目的 分析在孕足月的引产中通过联合应用低位水囊引产以及静脉滴注(静滴)缩宫素的临床价值。方法 抽取80例孕足月引产产妇,按照随机数字表法分组为对照组和观察组,每组40例。对照组产妇仅给予静滴缩宫素进行引产,观察组产妇则合用低位水囊引产与静滴缩宫素进行引产。比较两组产妇的治疗效果、产程时间、Bishop评分、产后2 h阴道出血量以及引产结局。结果 观察组产妇的产程时间(6.35±2.25)h短于对照组的(9.53±3.62)h、产后2 h阴道出血量(63.26±7.19)ml少于对照组的(78.69±10.07)ml, Bishop评分(8.01±1.32)分高于对照组的(5.06±1.34)分(P<0.05)。观察组产妇治疗总有效率97.50%,高于对照组的80.00%(P<0.05)。观察组产妇自然分娩率70.00%较对照组的52.50%高,剖宫产率30.00%和新生儿窒息发生率2.50%较对照组的47.50%、20.00%低(P<0.05)。结论 在孕足月产妇的引产中通过联合应用低位水囊引产以及静滴缩宫素能够有效促进其宫颈成熟、提升引产质量,并可有效降低剖宫产率及维护母婴健康。

Objective To analyze the clinical value of low-position water sac induced labor and intravenous drip of oxytocin in full-term pregnancy.Methods A total of 80 full-term pregnant women with labor induction were selected and divided into a control group and an observation group according to random number table method,each with 40 cases.The control group was only given intravenous drip of oxytocin for labor induction,while the observation group was given low-position water sac induced labor and intravenous drip of oxytocin for labor induction.The therapeutic effect,duration of labor,Bishop score,amount of vaginal bleeding at 2 h postpartum and outcome of induced labor were compared between the two groups.Results The duration of labor of(6.35±2.25)h in the observation group was shorter than(9.53±3.62)h in the control group,the amount of vaginal bleeding of(63.26±7.19)ml at 2 h postpartum was shorter than(78.69±10.07)ml in the control group,and the Bishop score of(8.01±1.32)points was higher than(5.06±1.34)points in the control group(P<0.05).The total effective rate of 97.50%in the observation group was higher than 80.00%in the control group(P<0.05).The natural delivery rate of 70.00%in the observation group was higher than 52.50%in the control group;the incidence of cesarean section and neonatal asphyxia were 30.00%and 2.50%in the observation group,which were lower than 47.50%and 20.00%in the control group(P<0.05).Conclusion In the induction of labor in full-term pregnant women,the combination of low-position water sac induction and intravenous drip of oxytocin can effectively promote cervical maturity,improve the quality of induction of labor,and effectively reduce the rate of cesarean section and maintain the health of mothers and infants.