薛娟++++++王月兰++++++李幼娟++++++王娜++++++王丽秀++++++夏丰娜++++++王君朴

    [摘要] 目的 探討Foley尿管低位小水囊、小剂量米索前列醇阴道后穹隆给药和小剂量缩宫素静脉滴注在孕晚期妊娠促宫颈成熟和引产中的应用效果。 方法 选取2014年4月～2016年1月于河北省第七人民医院住院的180例孕晚期初产妇作为研究对象，随机分成水囊组、米索前列醇组和缩宫素组，各60例，分别给予Foley尿管小水囊置入宫颈内口引产、小剂量米索前列醇阴道后穹隆给药引产和小剂量缩宫素静脉滴注引产。观察三组的促宫颈成熟和引产效果、分娩结局以及新生儿出生情况。 结果 水囊组和米索前列醇组用药后的宫颈Bishop评分均显著高于缩宫素组，差异有统计学意义(P 0.05)。 结论 Foley尿管低位小水囊和小剂量米索前列醇阴道后穹隆给药用于孕晚期妊娠产妇引产中均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，值得临床应用。

    [关键词] 低位水囊；米索前列醇；促宫颈成熟；引产

    [中图分类号] R714.21 [文献标识码] A [文章编号] 1673-7210(2017)07(c)-0121-04

    [Abstract] Objective To discuss application effects with low small bladders， small dose of Misoprostol after vaginal fornix and small dose of Oxytocin intravenous drip for induced labor of late pregnancy. Methods 180 late pregnant women from April 2014 to January 2016 were selected and randomly divided into 60 patients of them accepted with foley catheter low water bladders for induced labor were taken as water bladders group， 60 patients of them accepted with small dose of Misoprostol after vaginal fornix for induced labor were taken as Misoprostol group ......