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目的:研究单球囊联合催产素用于过期妊娠促宫颈成熟及引产的临床治疗效果。方法:选择广东省清远市佛冈县人民医院2015年2月至2017年2月收入的过期妊娠产妇120例,随机分为A、B两组,每组60例,给予A组产妇单球囊联合催产素引产,给予B组产妇单纯催产素引产。观察比较观察记录两组产妇相关分娩指标、分娩结局、宫颈Bishop评分、阴道分娩率及新生儿评分。结果:A组产妇生产过程中的相关生产指标水平、胎儿窘迫几率均显著低于B组产妇,差异具有统计学意义(P<0.05);A组产妇阴道娩率显著高于B组产妇,差异具有统计学意义(P<0.05);A组产妇治疗后宫颈Bishop评分显著高于B组产妇,差异具有统计学意义(P<0.05);两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论:单球囊联合催产素具有促进宫颈成熟、缩短产程时间、降低产妇产后出血量、增加阴道自然分娩例率的特点,且不影响新生儿Apgar评分,高效安全,且可操作性强。
Objective: To study the clinical effect of single balloon combined with oxytocin on cervical ripening and induction of labor during pregnancy. Methods: One hundred and twenty cases of obstetric women whose income was from Feb. 2015 to Feb. 2017 in Fogang County People’s Hospital of Qingyuan City of Guangdong Province were randomly divided into A and B groups, 60 cases in each group. A group of maternal single balloon Oxytocin induction of labor, giving group B maternal oxytocin induced labor. Observations and comparisons were recorded two maternal-related labor indicators, delivery outcomes, cervical Bishop score, vaginal delivery rate and neonatal score. Results: The level of related indicators of production and the frequency of fetal distress in group A were significantly lower than those in group B (P <0.05). The rate of vaginal delivery in group A was significantly higher than that in group B (P <0.05). The cervical Bishop score of group A was significantly higher than that of group B after treatment (P <0.05). There was no significant difference in Apgar scores between the two groups P> 0.05). CONCLUSION: The single balloon combined with oxytocin has the characteristics of promoting cervical maturation, shortening labor time, reducing the amount of postpartum hemorrhage and increasing the rate of spontaneous vaginal delivery, and does not affect Apgar score of newborns. It is safe, safe, and practicable.