COOK宫颈扩张球囊促宫颈成熟并引产的临床应用  

Clinical Application of Cook Cervical Expansion Ballon in Full-term Pregnancy Cervical Ripening and Labor Induction

作　　者：李华珍[1] 徐晓燕[1] 罗利[1] 钟柳英[2] 

机构地区：[1]广州医科大学附属第四医院妇产科,广东广州511447 [2]广州医科大学附属第三医院妇产科

出　　处：《中南医学科学杂志》2015年第6期646-650,共5页Medical Science Journal of Central South China

摘　　要：目的：评估宫颈扩张球囊促宫颈成熟并引产的有效性和安全性。方法回顾性选择2014年1月~2015年6月在本院住院有引产指征的足月孕妇80例,按照治疗方法不同纳入COOK宫颈扩张球囊联合人工破膜加缩宫素静滴的研究组（40例）和使用缩宫素静滴联合人工破膜的对照组（40例）,比较两组宫颈成熟及引产效果、分娩方式、妊娠合并症、围生儿结局。结果研究组和对照组促宫颈成熟有效率分别为92.5%和67.5%,引产成功率分别为90%和60%,剖宫产率分别为10%和40%,两组比较差异有统计学意义（P〈0.05）。研究组平均诱发临产时间为15.8±3.8 h、总产程时间为9.4±1.0 h,明显低于对照组平均诱发临产时间31.4±6.5 h、总产程时间为18.2±0.9 h,两组比较差异有统计学意义（P〈0.05）。两组发生宫颈裂伤、胎儿窘迫、新生儿窒息、产褥感染、产后出血量等不良影响比较差异无统计学意义（P〉0.05）。结论 COOK宫颈扩张球囊联合人工破膜加缩宫素引产成功率高,降低剖宫产率,并发症少,是一种安全、有效的引产方法。Objective To assess the effectiveness and safety of Cook cervical expansion ballon in cervical ripening and labor induction. Methods Choosing 80 primate pregnancy with indications for labor induction in our hospital from January 2014 to June 2015,dividing randomly into research group using Cook cervical expansion ballon together with artifi-cial rupture of membranes and intravenous drip of oxytocin and control group using intravenous drip of oxytocin with artifi-cial rupture of membranes,comparing cervical ripening,labor induction effectiveness,delivery mode,complication of preg-nancy,perinatal outcomes. Results Cervical ripening effective rates of research group and control group are 92. 5% and 67. 5% respectively. The successful rates of induced labor are 90% and 60% respectively and caesarean section rates are 10% and 40% respectively. The difference of these two groups is statistically singificant（P〈0. 05）. The average time of onset of delivery in research group is 15. 8 ± 3. 8 h and the time of production process is 9. 4 ± 1. 0 h,which are apparently below the date of control group while the average time of onset of delivery in control group is 31. 4 ± 6. 5 h and the time of productionis18.2±0.9h,sothedifferenceofthesetwogroupsisstatisticallysignificant（P〈0.05）.Thedifferenceof cervical laceration,fetal distress,puerperal infection,asphyxia neonatorum and postpartum hemorrhage amount has no statis-tical significance. Conclusion Using Cook cervical expansion ballon together with artificial rupture of membranes and intravenous drip of oxytocin can increase the rates of induced labor and reduce the rates of caesarean section,so it is a safe and effective way of labor induction with less complications.

关 键 词：宫颈扩张球囊 缩宫素 促宫颈成熟 引产 

分 类 号：R714[医药卫生—妇产科学]