摘要
目的分析COOK子宫颈扩张球囊用于足月妊娠促宫颈成熟及引产的临床效果。方法选取2016年6月至2017年12月我院收治的有引产指征的孕妇618例,随机分为两组各309例。观察组使用COOK子宫颈扩张球囊结合催产素引产,对照组仅使用催产素引产。观察两组孕妇的宫缩过强率、宫颈成熟率、引产成功率、总产程、分娩方式、产后出血量及新生儿窒息和羊水粪染情况。结果观察组的宫缩过强率低于对照组,宫颈成熟率和引产成功率均高于对照组(P均<0.05)。观察组的总产程短于对照组,剖宫产率低于对照组(P均<0.05)。两组孕妇的产后出血量、新生儿窒息率和羊水粪染率比较均无统计学差异(P>0.05)。结论对足月妊娠孕妇采用COOK子宫颈扩张球囊结合催产素进行引产,能够显著提高引产成功率,降低剖宫产率,值得临床推广应用。
Objective To analyze the clinical effect of COOK cervical dilatation balloon for cervical ripening and labor induction in term pregnancy. Methods 618 cases of pregnant women with preterm delivery indications admitted to our hospital from June 2016 to December 2017 were selected and randomly divided into two groups, with 309 cases in each group. The observation group used COOK cervical dilation balloon combined with oxytocin to induce labor, while the control group only used oxytocin to induce labor. The rate of excessive uterine contraction, rate of cervical ripening, success rate of labor induction, total labor, delivery methods, postpartum hemorrhage,neonatal asphyxia and meconium stained amniotic fluid of the two groups were observed. Results The rate of excessive uterine contraction of the observation group was lower than that of the control group, and the rate of cervical ripening and the success rate of labor induction were higher than those of the control group（all P 0.05）. The total labor of the observation group was shorter than that of the control group,and the cesarean section rate was lower than that of the control group（both P 0.05）. No statistical difference was found in the postpartum hemorrhage, neonatal asphyxia rate, and meconium stained amniotic fluid rate between the two groups（P 0.05）. Conclusions COOK cervical dilatation balloon combined with oxytocin for cervical ripening and labor induction in term pregnancy can significantly improve the success rate of labor induction and reduce the cesarean section rate, which is worthy of clinical promotion and application.
作者
林小磊
LIN Xiaolei(Yangfiang Maternal and Child Healthcare Hospital,Yant~iang 529500,China)
出处
《临床医学工程》
2018年第9期1155-1156,共2页
Clinical Medicine & Engineering
关键词
COOK子宫颈扩张球囊
催产素
足月妊娠
引产
COOK cervical dilatation balloon
Oxytocin
Term pregnancy
Labor induction
作者简介
林小磊（1974-），女，广东阳江人，本科学历，副主任医师，从事妇产科临床工作。
