孕足月低位水囊引产联合静滴缩宫素的临床观察及总结(1)
摘要：目的 比较孕足月低位水囊联合静滴缩宫素引产及单用缩宫素引产的有效性及安全性。方法 本文选取80例孕足月、单胎头位、有引产指征、宫颈bishop评分<6分的初产妇，随机划分两组，对照组单用静脉滴注缩宫素引产，治疗组采用低位水囊联合静滴缩宫素引产，对比两组的分娩方式、引产前后宫颈bishop评分。结果 治疗组在引产前后的宫颈bishop评分分别是(3.61±0.13)分、(8.00±1.10)分，阴道分娩患者38例，剖宫产患者2例；对照组在引产前后的宫颈bishop评分分别是(3.62±0.13)分、(5.11±1.02)分，阴道分娩患者20例，剖宫产患者20例；两组结果对比存在显著性差异(P<0.05)，具有统计学意义。结论 孕足月妊娠患者采用低位水囊联合静滴缩宫素引产后，可以明显促进宫颈成熟，促进产程进展，提升治疗效果，提升自然分娩率，降低剖宫产率。
关键词：孕足月；低位水囊引产；静滴缩宫素；临床观察；总结
中图分类号：R71 文献标识码：A
, 百拇医药
Clinical Observation and Summary of the Combined Treatment of Pregnancy and Term Low Water Sac Labor Combined with Intravenous Drip Oxytocin
ZENG Jiang-wei
(Mianyang Central Hospital，Mianyang 621099，Sichuan，China)
Abstract：Objective To compare the full-term pregnancy water sac joint static drop low oxytocin induced labor and use oxytocin induced labor is effective and safety. Methods In this paper， we select 80 cases of full-term pregnancy， single fetal head， has induced labor indications， cervical bishop score < 6 points of first-time mothers， randomly divided into two groups， control group， with intravenous drip of oxytocin induced labor， the treatment group with low water sac joint static drop oxytocin induced labor， compared two groups of cervical bishop score before and after childbirth way， induced labor. Results Treatment group in cervical bishop scores before and after induced labor were (3.61±0.13)， (8.00±1.10) points， 38 patients with vaginal delivery， cesarean section patients in 2 cases； Control group before and after induced labor cervical bishop score (3.62±0.13)， (5.11±1.02)， 20 patients with vaginal delivery， cesarean section patients 20 cases； The results of two groups exist significant difference (P < 0.05)， with statistical significance. Conclusion Pregnancy to full term pregnancy were treated by low water sac joint after intravenous drip oxytocin induced labor， can promote cervical mature， promote labor progress， improve the treatment effect， enhance natural births， reduce the rate of cesarean delivery.
, 百拇医药
Key words： Full-term pregnancy； Low water sac induced labor； Static drops of oxytocin； Clinical observation；Conclusion
引产是当前临床中针对足月妊娠孕妇实施的一种人工促分娩方式[1]，在当前我院开展引产工作中，都会使用缩宫素，大部分情况下选择单独使用缩宫素进行引产，但是单独使用的疗效较差，同时风险很高，对部分宫颈不成熟患者，很有可能会造成妊娠子宫不协调宫缩情况、强直性子宫收缩情况，甚至间接造成胎儿宫内窘迫等一系列不良情况，对胎儿以及孕妇的健康状况带来巨大风险，因此在临床中需要引起高度重视，采用低位水囊联合静滴缩宫素引产，明显改善了宫颈成熟度，提高了自然分娩率，降低剖宫产率，是一种安全有效的引产方式。
1 资料与方法
1.1一般资料 本次试验选取的患者均为2014年04月～2015年04月的80例孕足月、单胎头位、有引产指征、宫颈bishop评分<6分的初产妇，每组各40例。年龄20.60～37.10岁，平均年龄(29.59±4.20)岁。, 百拇医药(曾江伟)
关键词：孕足月；低位水囊引产；静滴缩宫素；临床观察；总结
中图分类号：R71 文献标识码：A
, 百拇医药
Clinical Observation and Summary of the Combined Treatment of Pregnancy and Term Low Water Sac Labor Combined with Intravenous Drip Oxytocin
ZENG Jiang-wei
(Mianyang Central Hospital，Mianyang 621099，Sichuan，China)
Abstract：Objective To compare the full-term pregnancy water sac joint static drop low oxytocin induced labor and use oxytocin induced labor is effective and safety. Methods In this paper， we select 80 cases of full-term pregnancy， single fetal head， has induced labor indications， cervical bishop score < 6 points of first-time mothers， randomly divided into two groups， control group， with intravenous drip of oxytocin induced labor， the treatment group with low water sac joint static drop oxytocin induced labor， compared two groups of cervical bishop score before and after childbirth way， induced labor. Results Treatment group in cervical bishop scores before and after induced labor were (3.61±0.13)， (8.00±1.10) points， 38 patients with vaginal delivery， cesarean section patients in 2 cases； Control group before and after induced labor cervical bishop score (3.62±0.13)， (5.11±1.02)， 20 patients with vaginal delivery， cesarean section patients 20 cases； The results of two groups exist significant difference (P < 0.05)， with statistical significance. Conclusion Pregnancy to full term pregnancy were treated by low water sac joint after intravenous drip oxytocin induced labor， can promote cervical mature， promote labor progress， improve the treatment effect， enhance natural births， reduce the rate of cesarean delivery.
, 百拇医药
Key words： Full-term pregnancy； Low water sac induced labor； Static drops of oxytocin； Clinical observation；Conclusion
引产是当前临床中针对足月妊娠孕妇实施的一种人工促分娩方式[1]，在当前我院开展引产工作中，都会使用缩宫素，大部分情况下选择单独使用缩宫素进行引产，但是单独使用的疗效较差，同时风险很高，对部分宫颈不成熟患者，很有可能会造成妊娠子宫不协调宫缩情况、强直性子宫收缩情况，甚至间接造成胎儿宫内窘迫等一系列不良情况，对胎儿以及孕妇的健康状况带来巨大风险，因此在临床中需要引起高度重视，采用低位水囊联合静滴缩宫素引产，明显改善了宫颈成熟度，提高了自然分娩率，降低剖宫产率，是一种安全有效的引产方式。
1 资料与方法
1.1一般资料 本次试验选取的患者均为2014年04月～2015年04月的80例孕足月、单胎头位、有引产指征、宫颈bishop评分<6分的初产妇，每组各40例。年龄20.60～37.10岁，平均年龄(29.59±4.20)岁。, 百拇医药(曾江伟)