目的探讨宫颈球囊和催产素促宫颈成熟对孕妇妊娠结局的影响。方法对惠州市中心人民医院第一分院2012年3月-2014年3月收治的伴有引产指征的初产妇进行抽样,选取68例孕妇随机分成两组,对照组予以催产素促宫颈成熟,实验组应用宫颈扩张球囊促宫颈成熟,观察两组孕妇促宫颈成熟前后宫颈Bishop评分,并分析分娩方式、妊娠结局及并发症发生情况。结果 1实验组宫颈Bishop评分(8.76±2.34)分,与对照组(6.12±1.32)分比较差异有统计学意义(P<0.05),宫颈成熟率100.0%、阴道分娩率91.18%,与对照组70.59%、52.94%相比差异均有统计学意义(P<0.05)。2实验组第一产程(396.96±123.23)min、总产程时间(442.47±129.1)min,与对照组(529.71±116.92)min、(554.43±116.28)min相比差异均有统计学意义(P<0.05),第二产程、第三产程时间与对照组相比无统计学意义(P>0.05。3母婴结局,两组助产率、产妇产后出血量及新生儿出生后5 min Apgar评分、出生体重、窒息率均无统计学意义(P>0.05)。结论宫颈扩张球囊促宫颈成熟效果优于催产素,引产成功率高,有临床推广价值。

Objective To investigate the cervical balloon and oxytocin in promoting cervical ripening effects on pregnancy outcome of pregnant women. Methods Selected 68 cases of pregnant women with indications for labor induction in our hospital in March 2012 to March 2014 for sampling,were randomly divided into two groups,the control group was given oxytocin cervical ripening,the experimental group used cervical dilation balloon cervical ripening,observed cervical Bishop score of two pregnant women before and after cervical ripening and parturition,analysis of pregnancy outcome and complications. Results 1 The cervical Bishop score in experimental group( 8. 76 ± 2. 34) vs control group( 6. 12 ± 1. 32) was statistically significant( P < 0. 05),cervical ripening rate,vaginal delivery rate of experimental group were 100%,91. 18% VS control group 70. 59%,52. 94%,differences were significant( P< 0. 05). 2 The first stage of labor of experiment group( 396. 96 ± 123. 23) min and total labor time( 442. 47 ± 129. 1) min VS control group( 529. 71 ± 116. 92) min,( 554. 43 ± 116. 28) min,the differences were statistically significant( P < 0. 05),the second stage of labor,the third stage of labor time compared with the control group had no statistical significance( P > 0. 05). 3maternal and infant outcomes: birth rate,postpartum hemorrhage volume and after the birth of 5min Apgar score,birth weight,asphyxia rate of two groups had no statistical significance( P > 0. 05). Conclusion The effect of balloon dilatation of cervix for cervical ripening is better than that of oxytocin,the success rate is high,has clinical value.