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目的分析探讨低位水囊联合米非司酮引产在中期妊娠引产中的临床效果。方法选取本院自2011年2月~2013年6月收治的80例自愿行中期妊娠引产的孕妇,随机均分为对照组和观察组各40例,对照组单纯应用低位水囊引产,观察组则应用低位水囊联合米非司酮引产。比较两组孕妇在产程启动时间、脱囊时间、胎儿娩出时间、失血量、引产成功率和并发症发生率上的差异。结果观察组产程启动时间、脱囊时间、胎儿娩出时间和失血量均显著少于对照组(P<0.05);观察组引产成功率为100.0%,显著高于对照组的87.5%(35/40)(P<0.05);两组均无严重并发症发生,并发症发生率比较差异无统计学意义(P>0.05)。结论低位水囊联合米非司酮在中期妊娠引产中效果确切,能明显提前启动引产发动,缩短宫缩发作至胎儿排出的时间,引产成功率高,值得在临床上广泛推广与应用。
Objective To investigate the clinical effect of low water balloon combined with mifepristone induced labor in mid-term pregnancy induced labor. Methods A total of 80 pregnant women with voluntary induction of labor during the second trimester of pregnancy admitted to our hospital from February 2011 to June 2013 were randomly divided into the control group and the observation group, 40 cases in each group. The control group was treated with low- The application of low water balloon combined with mifepristone induction. The differences of the two groups of pregnant women in the time of onset of labor, the time of exfoliation, the time of delivery of the fetus, the blood loss, the success rate of induction of labor and the incidence of complications were compared. Results The onset time of labor, the time of exfoliation, the time of delivery of fetus and the blood loss in observation group were significantly less than those in control group (P <0.05). The success rate of induction of labor in observation group was 100.0%, significantly higher than that in control group (87.5%, 35/40 ) (P <0.05). No serious complication occurred in both groups, and there was no significant difference in complication rates between the two groups (P> 0.05). Conclusions Low water balloon combined with mifepristone has the exact effect in induction of labor during the second trimester pregnancy. It can significantly start the induction of labor and shorten the discharge time from the uterine contractions to the fetus. The success rate of induction of labor is high, which is worthy of widespread application in clinic.