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目的:探讨宫颈水囊辅助人工破膜和宫缩素促宫颈成熟引产的效果。方法:选取2015年3月至2016年2月收治的符合引产指征的孕妇100例,采用随机数表法分为两组,即观察组和对照组各50例,观察组孕妇采用宫颈水囊促进宫颈成熟后,将水囊取出后人工破膜,然后滴注缩宫素进行引产,对照组患者给予采用宫颈水囊促宫颈成熟后,直接滴注缩宫素引产,比较两组孕妇治疗后的妊娠结局、引产效果、促宫颈成熟效果、引产指征以及并发症发生率情况。结果:治疗后,观察组孕妇的产程、临产时间(9.12±2.12、18.45±3.47h)短于对照组(13.12±2.56、36.45±4.78h),观察组孕妇治疗后剖宫产率为10.00%低于对照组30.00%,两组比较差异显著(P<0.05);两组孕妇的新生儿Apgar评分、新生儿体重以及产后出血量进行比较,差异无统计学意义(P>0.05);观察组孕妇治疗后的总有效率为96.00%高于对照组70.00%,两组比较差异显著(P<0.05);两组孕妇的羊水过少、妊娠高血压疾病以及瘢痕子宫情况进行比较,差异无统计学意义(P>0.05);观察组孕妇治疗后出现胎盘早剥(2.00%)、宫腔感染(4.00%)以及发热(0.00%)等并发症的发生率都明显低于对照组孕妇(24.00%、20.00%、18.00%),两组比较差异显著(P<0.05)。结论:宫颈水囊辅助人工破膜联合缩宫素促进引产具有缩短产程、减少产妇痛苦以及降低剖宫产率的优点。
Objective: To investigate the effect of cervical water sac auxiliary artificial rupture of membranes and the promotion of cervical ripening induced by oxytocin. Methods: One hundred pregnant women who were eligible for induction of labor were selected from March 2015 to February 2016. The random number table was used to divide into two groups, 50 cases in observation group and 50 cases in control group respectively. Promote cervical maturation, the water sac removed after artificial rupture of the membrane, and then oxytocin infusion induced abortion, the control group of patients given cervical water bottle to promote cervical ripening, the direct infusion of oxytocin abortion, compared two groups of pregnant women after treatment Of pregnancy outcomes, induction of labor, promoting cervical maturation, induction of labor induction and the incidence of complications. Results: After treatment, the labor duration and the duration of labor (9.12 ± 2.12 and 18.45 ± 3.47 h) in the observation group were shorter than those in the control group (13.12 ± 2.56 and 36.45 ± 4.78 h) respectively. The cesarean section rate in the observation group was 10.00% (P <0.05). Apgar score, weight of newborns and postpartum hemorrhage in two groups were not significantly different (P> 0.05). The observation group The total effective rate of pregnant women after treatment was 96.00%, which was significantly higher than that of control group (70.00%), there was significant difference between the two groups (P <0.05). There was no statistical difference between the two groups in terms of oligohydramnios, gestational hypertension and scar uterus (2.00%), intrauterine infection (4.00%) and fever (0.00%) were significantly lower in the observation group than those in the control group (24.00 %, 20.00%, 18.00%), the difference between the two groups was significant (P <0.05). Conclusion: Cervical hydatidial assisted artificial rupture of membranes combined with oxytocin to promote induction of labor can shorten the labor process, reduce maternal pain and reduce the advantages of cesarean section rate.