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目的探讨子宫颈扩张双球囊促宫颈成熟并引产的有效性和安全性。方法对在四川省妇幼保健院住院有引产指征且宫颈评分<6分的120例孕妇采用回顾性对照研究方法进行分析。自愿采用子宫颈扩张双球囊引产者为观察组,采用常规小剂量缩宫素引产者为对照组,每组各60例。比较分析两组促宫颈成熟并引产的效果、分娩方式、妊娠结局及并发症。结果观察组宫颈成熟60例(100.00%),对照组44例(73.33%);观察组阴道分娩成功53例(88.33%),对照组35例(58.33%);观察组剖宫产7例(11.67%),对照组25例(41.67%),差异均有统计学意义(P<0.05)。对母儿结局的影响与产钳助产两组比较差异无统计学意义(P>0.05)。结论子宫颈扩张双球囊促宫颈成熟并引产效果明显优于缩宫素引产,且并未增加母儿并发症。
Objective To investigate the effectiveness and safety of cervix dilatation double balloon to promote cervical ripening and induction of labor. Methods A total of 120 pregnant women with indications of induction of labor and cervical score <6 were hospitalized in Sichuan Provincial MCH and were analyzed retrospectively. Voluntary use of dual-balloon dilatation of the cervix for the observation group, the conventional low-dose oxytocin induction group as the control group, 60 cases in each group. Comparative analysis of two groups of cervical ripening and induction of labor effects, mode of delivery, pregnancy outcomes and complications. Results The observation group had 60 cases of cervical ripening (100.00%), 44 cases (73.33%) in the control group, 53 cases (88.33%) in the observation group and 35 cases (58.33%) in the control group. The observation group had 7 cases of cesarean section 11.67%), while 25 cases (41.67%) in the control group, the differences were statistically significant (P <0.05). The impact on maternal and child outcome and forceps midwifery two groups showed no significant difference (P> 0.05). Conclusions Double cervical dilatation of cervix to promote cervical ripening and induction of labor was significantly better than oxytocin induction of labor, and did not increase the complications of both mother and child.