低位水囊引产在孕晚期引产中的优势分析  

Advantages Analysis of Low Water Sac Induced Abortion in Late Pregnancy

作　　者：孙洁 SUN Jie(Obstetrics and Gynecology Department,Xuyi County Maternal and Child Health Hospital,Huai'an,Jiangsu 211700)

机构地区：[1]盱眙县妇幼保健院妇产科,江苏淮安211700

出　　处：《智慧健康》2023年第9期115-119,共5页Smart Healthcare

摘　　要：目的探讨低位水囊引产在孕晚期引产中的效果及其对分娩方式的影响。方法研究针对2018年2月-2022年5月盱眙县妇幼保健院妇产科接收孕晚期产妇64例,根据入院时间先后顺序划分对照组(2018年2月-2019年12月,32例)与观察组(2020年1月-2022年5月,32例),对照组孕晚期产妇采用药物米索前列醇引产,观察组孕晚期产妇实施低位水囊引产,观察比较两组产妇引产效果,记录各组产妇分娩期间各项指标及分娩方式选择,分析差异性。统计两组产妇出现并发症的具体情况,统计比较总发生概率。结果观察组产妇引产总有效率明显高于对照组(P<0.05)。观察组产妇宫缩时间、产程总时长明显短于对照组,分娩期间出血量低于对照组,产妇宫颈Bis Shop评分高于对照组(P<0.05)。观察组产妇阴道分娩占比率高于对照组(P<0.05),观察组产妇分娩期间出现并发症的总概率明显低于对照组(P<0.05)。结论孕晚期产妇可通过低位水囊技术进行引产,具有显著效果,可有效缩短宫缩及产程时长,提高阴道分娩率,安全性高,倡导运用推广。Objective To explore effect of low water sac induced abortion on late pregnancy women and delivery methods.Methods The paper chose 64 late pregnant women admitted to obstetrics and gynecology department of Xuyi County Maternal and Child Health Hospital from February 2018 to May 2022,and divided them into control group(32 cases from February 2018 to December 2019)and observation group(32 cases from January 2020 to May 2022)based on admission sequence.Control group was induced by misoprostol for late pregnant women,while observation group by low level water sac.Effect of induced labor between two groups was observed and compared,various indicators and delivery methods during delivery were recorded,difference was analyze,specific situation of complications between two groups of postpartum women was calculated,total probability was counted and compared.Results Total effective rate of induced labor in observation group was significantly higher than control group(P<0.05).Observation group had significantly shorter uterine contraction time and total labor duration than control group.Bleeding amount during delivery was lower than control group,BisShop scores of cervix in observation group were higher than control group(P<0.05).Proportion of vaginal delivery in observation group was higher than control group(P<0.05),total complications incidence during delivery in observation group was significantly lower than control group(P<0.05).Conclusion Low water sac labor induction technology can achieve significant effect for women with late pregnancy,can shorten uterine contractions and labor duration effectively,improve vaginal delivery rate with high safety,which is worthy of promotion and promotion.

关 键 词：低位水囊 米索前列醇 引产 孕晚期 宫颈评分 

分 类 号：R719.3[医药卫生—妇产科学]