低位水囊联合缩宫素在妊娠晚期孕妇中的应用  

Application of low water sac combined with oxytocin in pregnant women under the third trimester

作　　者：李风英 王满兰 辛婷 雷丽华 LI Fengying;WANG Manan;XIN Ting;LEI Lihua(Department of Obstetrics and Gynecology,Yichun Maternal and Child Health Hospital,Yichun,Jiangxi,336000,China;Yichun Wanzai County Maternal and Child Health Hospital,Yichun,Jiangxi,336100,China;Yichun Emergency Rescue Center,Yichun,Jiangxi,336000,China)

机构地区：[1]宜春市妇幼保健院妇产科,江西宜春336000 [2]宜春市万载县妇幼保健院,江西宜春336100 [3]宜春市紧急救援中心,江西宜春336000

出　　处：《当代医学》2023年第2期92-95,共4页Contemporary Medicine

摘　　要：目的探究低位水囊联合缩宫素在妊娠晚期孕妇中的应用。方法选取2017年1月至2019年3月本院接收的83名妊娠晚期孕妇作为研究对象,按照治疗方法不同分为观察组(n=43)与对照组(n=40)。对照组采用缩宫素引产,观察组在对照组基础上联合低位水囊引产。比较两组引产前后宫颈成熟度评分(Bishop评分)、视觉模拟评分法(VAS)评分、分娩情况、并发症发生情况。结果引产前,两组Bishop评分和VAS评分比较差异无统计学意义;引产后,两组Bishop评分和VAS评分均高于引产前,观察组Bishop评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。两组第二、三产程均长于第一产程,第三产程短于第二产程,且观察组第一、二、三产程均短于对照组,差异有统计学意义(P<0.05);观察组经阴道分娩率高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较差异无统计学意义。结论低位水囊结合缩宫素可加速妊娠晚期孕妇宫颈成熟,减轻疼痛感,提高引产率,且未增加并发症的发生。Objective To explore the application of low water sac combined with oxytocin in pregnant women under the third trimester.Methods A total of 83 pregnant women in late pregnancy received by our hospital from January 2017 to March 2019 were selected as the research subjects,and they were divided into observation group(n=43)and control group(n=40)according to different treatment methods.The control group was induced by oxytocin,and the observation group was induced by low water sac on the basis of the control group,the cervical maturity score(Bishop score),visual analogue scale(VAS)score,delivery and complications before and after induction of labor were compared between the two groups.Results Before induction of labor,there was no significant difference in Bishop score and VAS score between the two groups;after induction of labor,the Bishop score and VAS score of the two groups were higher than those before induction of labor,and the Bishop score of the observation group was higher than that of the control group,and the VAS score was lower than that of the control group,the differences were statistically significant(P<0.05).The second and third stage of labor in the two groups was longer than the first stage of labor,and the third stage of labor was shorter than the second stage of labor,the first,second and third stages of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The vaginal delivery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups.Conclusion Low water sac combined with oxytocin can accelerate cervical ripening,reduce pain,and increase the induction rate without new complications in pregnant women under the third trimester.

关 键 词：低位水囊 缩宫素 妊娠晚期 引产 宫颈成熟度 

分 类 号：R719.3[医药卫生—妇产科学]