子宫颈扩张球囊在足月妊娠羊水偏少孕妇引产过程中应用价值分析.doc

子宫颈扩张球囊在足月妊娠羊水偏少孕妇引产过程中应用价值分析 　　【摘要】 目的：探?子宫颈扩张球囊在足月妊娠羊水偏少孕妇引产过程中的应用价值。方法：选取2014年6月-2016年10月本院收治的80例足月妊娠羊水偏少孕妇作为研究对象，按照随机数字表法分为对照组和研究组，各40例。对照组孕妇使用小剂量缩宫素静滴进行引产，而研究组孕妇则采用子宫颈扩张球囊进行引产。比较两组孕妇的促宫颈成熟和引产效果、分娩结局及新生儿出生情况。结果：研究组孕妇引产后12 h的宫颈Bishop评分为（8.86±1.75）分，显著高于对照组的（6.42±1.58）分，差异有统计学意义（P0.05）。结论：子宫颈扩张球囊用于足月妊娠羊水偏少孕妇引产中具有良好的促宫颈成熟作用，可提高引产成功率，降低剖宫产率，安全有效，值得应用于临床 【关键词】 子宫颈扩张球囊； 羊水偏少； 促宫颈成熟； 引产 Applied Value of Cook Ballon Catheter on Labor Induction of Term Pregnant Women with Oligohydramnios/HUANG Bi-juan，LI Zhi-qing，LIU Yue-mei.//Medical Innovation of China，2017，14（14）：100-103 【Abstract】 Objective：To discuss the applied value of Cook ballon catheter on labor induction of term pregnancy with oligohydramnios.Method：A total of 80 term pregnant women with oligohydramnios from June 2014 to October 2016 were randomly selected and divided into 40 term pregnant women from them accepted with Oxytocin for induced labor were taken as the control group，while the other 40 term pregnant women accepted with Cook ballon catheter were taken as the research group.The effect of cervical ripening and induced labor，delivery outcome and birth state of newborns in two groups were observed.Result：Bishop scores after 12 h odinopoeia of the research group was （8.86±1.75），which was higher than （6.42±1.58） of the control group，the difference was statistically significant（P0.05）.Conclusion：Cook ballon catheter on labor induction of term pregnant women with oligohydramnios with effects of cervical ripening that canincrease the success rate of induced labor，reduce the cesarean section rate，it is worthy of clinical using. 　　【Key words】 Cook ballon catheter； Oligohydramnios； Maturing cervix； Labor induction First-authors address：The Southern District Hospital of Zhongshan City，Zhongshan 528455，China doi：10.3969/j.issn.1674-4985.2017.14.027 羊水过少是胎盘功能不良和胎儿危险的重要监测信号，可严重影响孕妇妊娠结局，同时亦是导致新生儿死亡的重要原因之一，已引起人们的广泛关注。因此在足月妊娠发生羊水偏少时，应对孕妇进行有效的引产，从而避免孕妇不良妊娠结局的发生。引产是临床上处理孕晚期高危妊娠的常用方法之一，而引产的成功与否很大程度取决于宫颈的