目的：分析宫颈球囊与催产素联合用于妊娠晚期引产后孕妇宫颈成熟情况及临床效果。方法选择该院在2015年1月至2016年4月自愿接受引产的160例妊娠晚期孕妇，将其随机分为两组，观察组100例患者通过宫颈安置球囊联用催产素方法进行引产；对照组60例患者使用小剂量催产素静脉滴注进行引产。结果观察组孕妇宫颈成熟率为96.00%（96/100）明显高于对照组的70.00%（42/60），差异有统计学意义（P<0.05）。观察组孕妇阴道分娩成功率[80.00%（80/100）]显著高于对照组的58.33%（35/60）；观察组剖宫产率[20.00%（20/100）]明显低于对照组的41.67%（25/60），差异有统计学意义（P<0.05）。两组患者胎盘早剥、胎膜早破、羊水粪染、产褥感染、产道损伤、新生儿窒息等发生率比较，差异均无统计学意义（P>0.05）。观察组虽因使用球囊引产有发生球囊脱落、胎儿转位等特殊并发症，但两组患者并发症比较，差异无统计学意义（P>0.05）。结论安置宫颈球囊联合催产素用于促宫颈成熟及引产较传统静脉滴注催产素引产有更加满意的临床效果，并且未发现临床并发症增多。%Objective To analyze the cervical ripening situation and clinical effect of cervical balloon combined with oxytocin use in late pregnant women undergoing labor induction. Methods One hundred and sixty pregnant women voluntarily accepting labor induction in our hospital from January 2015 to April 2016 were selected and randomly divided into two groups. The observation group(100 cases) conducted the labor induction by transcervical placing cervical balloon combined with oxytocin use;the control group (60 cases) conducted the labor induction by using small dose of intravenous oxytocin. Results The cervical maturation rate in the observation group was 96.00%(96/100),which was significantly higher than 70.00%(42/60)in the control group,the difference was statistically significant(P<0.05). The vaginal delivery success rate in the observation group was 80.00%(80/100),which was significantly higher than 58.33%(35/60) in the control group;the cesarean section rate in the observation group was 20.00%(20/100),which was significantly lower than 41.67%(25/60)in the control group,the difference was statistically significant(P<0.05). The occurrence rates of placental abruption,premature rupture of fetal membranes,meconium-staining amni-otic fluid,puerperal infection,obstetric canal injuries and neonatal asphixia had no statistically significant differences between the two groups (P>0.05). Conclusion Placing cervical balloon combined with oxytocin in promoting cervical maturation and labor in-duction has more satisfactory clinical effect than the conventional intravenous drip of oxytocin without increasing clinical complications.
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