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目的比较双球囊导管与催产素在促宫颈成熟与引产中的有效性。方法将80例孕38～42周、单胎、头位、胎膜完整、宫颈Bishop评分<5分、无严重并发症、无阴道炎症的初产妇,随机分为双球囊导管引产组和缩宫素引产组,观察两组促宫颈成熟效果、分娩方式、引产成功率、诱发临产时间、总产程等指标。结果导管组的剖宫产率与药物组比较,差异无统计学意义(P>0.05)。两组在阴道分娩中引产成功率比较,差异有统计学意义(P<0.05)。两组阴道分娩产妇,使用12h后的宫颈Bishop评分比较,差异有统计学意义(P<0.05)。诱发临产时间比较,差异有统计学意义(P<0.05)。总产程比较,差异无统计学意义(P>0.05)。结论双球囊导管对足月妊娠促宫颈成熟效果显著,可明显缩短引产所用的时间。对降低剖宫产率、尤其是由于引产失败而行的剖宫产,提高经阴分娩成功率,是一种有效、安全的方法。
Objective To compare the effectiveness of dual balloon catheters and oxytocin in promoting cervical maturation and induction of labor. Methods Eighty pregnant primiparous women with 38-22 weeks of gestation, single fetus, head position, complete fetal membranes, cervical Bishop score <5, no serious complication and no vaginal inflammation were randomly divided into double balloon catheter induction group Uterine hormone induced labor group, observed two groups of cervical maturation effect, mode of delivery, induction of labor success rate, induction of labor time, total labor and other indicators. Results The rate of cesarean section in the catheter group was not significantly different from that in the drug group (P> 0.05). The success rate of induction of labor during vaginal delivery between the two groups was significantly different (P <0.05). Two groups of vaginal delivery of mothers, using the Bishop cervical score after 12h, the difference was statistically significant (P <0.05). Induction of labor time, the difference was statistically significant (P <0.05). There was no significant difference in total labor (P> 0.05). Conclusions Double balloon catheters have a significant effect on maturation of cervix in term pregnancy, which can significantly shorten the time used for induction of labor. To reduce the rate of cesarean section, especially due to induction of labor failed caesarean section, to improve the success rate of vaginal delivery, is an effective and safe way.