宫颈低位水囊在足月妊娠中应用价值.doc

宫颈低位水囊在足月妊娠中应用价值 　　[摘要]目的 探?宫颈低位水囊在足月妊娠中的应用价值。方法 选取2015年8月～2016年10月我院收治的120例足月妊娠孕妇作为研究对象，按照引产方案的不同分为研究组和对照组，研究组采用低位水囊法引产，对照组采用缩宫素法引产，比较两组产妇的分娩方式、引产效果、总产程、产时及产后出血情况、产儿窒息率、促宫颈成熟有效率等。结果 研究组产妇治疗后6、2、24的Bishop促宫颈成熟评分明显高于对照组，差异有统计学意义（P0.05）。两组的新生儿Apgar评分情况差异无统计学意义（P0.05）。结论 宫颈低位水囊法用于足月妊娠可以促进宫颈成熟，加速宫颈口的扩张、缩短临产时间，引产率高、安全性高，可有效降低剖宫产率、促进自然分娩，减轻对母子的伤害，减少产时及产后出血，值得临床推广应用 [关键词]低位水囊；足月妊娠；产妇；缩宫素；新生儿 [中图分类号] R714.1 [文献标识码] A [文章编号] 1674-4721（2017）02（a）-0113-04 [Abstract]Objective To explore the application value of cervical low position water bag （LPWB） in full-term pregnancy.Methods From August 2015 to October 2016，120 pregnant women with full-term pregnancy received treatment in our hospital were selected as objects.According to different labor induction，they were divided into research group and control group.The LPWB was used in the research group for labor induction，while in the control group，oxytocin was applied.The delivery mode，effect of labor induction，total stage of labor，intrapartum bleeding and postpartum hemorrhage，neonatal asphyxia rate，effective rate of cervical ripening and so on between two groups were compared.Results In the research group，after 6 h，12 h， and 24 h therapy，the score of improving cervical ripening by Bishop was obviously higher than that in the control group with a statistical difference （P0.05）.In comparison of neonatal Apgar score in the research group and control group，and there was no statistical difference （P0.05）.Conclusion Cervical LPWB applied in full-term pregnancy can facilitate cervical ripening，speed up the cervical dilatation，shorten the labor time with higher induction rate and safety，and it can effectively decrease the probability of cesarean section，promote natural childbirth，alleviate damage in mother and child，reduce the bleeding during and after delivery，which is worthy of promotion and application in clinic. [Key words]Low position water bag；Full-term pregnancy；Puerpera；Oxytocin；Neonate 　　近几年，由于社会以及母体等因素的影响，产妇的剖宫产率在逐年