COOK宫颈球囊用于足月妊娠宫颈不成熟及引产的效果分析  

Effect analysis of COOK cervical balloon used in term pregnancy with immature and induced labor

作　　者：徐芳萍[1] 

机构地区：[1]江西省妇幼保健院产科,江西南昌330006

出　　处：《中国当代医药》2016年第31期95-97,共3页China Modern Medicine

摘　　要：目的 探讨COOK宫颈球囊用于足月妊娠宫颈不成熟及引产的效果。方法 选取2015年5月-2016年5月我院符合引产指针的150例足月妊娠孕妇为研究对象,随机均分为观察组和对照组各75例。观察组采用COOK宫颈球囊促宫颈成熟及引产,对照组采用催产素静脉点滴促宫颈成熟及引产,观察对比两组孕妇宫颈成熟及引产效果。结果 观察组引产后Bishop评分高于对照组[（7.32±1.12）分vs（4.36±1.23）分]（P〈0.05）。观察组顺产率（85.33%）高于对照组（66.67%）,剖宫产率（12.00%）低于对照组（25.33%）,差异有统计学意义（P〈0.05）,两组阴道助产率比较,差异无统计学意义（P〉0.05）。观察组产时出血量和住院时间明显少于对照组（P〈0.05）,观察两组新生儿评分比较,差异无统计学意义（P〉0.05）。结论 COOK宫颈球囊用于足月妊娠促宫颈成熟及引产具有良好的临床效果,能降低孕妇分娩的风险,值得广泛推广。Objective To explore the effect of COOK cervical balloon used in term pregnancy with immature and in- duced labor.Methods 150 cases of pregnant women in induced labor pointer full-term pregnancy in our hospital from May 2015 to May 2016 were selected as research object and randomly and evenly divided into observation group and control group,each group 75 cases.Patients in the observation group were given COOK cervical balloon to promote cer- vical ripening and induction of labor,while patients in the control group were given Oxytocin intravenous drip to pro- mote cervical ripening and induction of labor,cervical ripening and induced labor effect of pregnant women in two groups were observed and compared.Results The Bishop scores of observation group after induced labor was higher than that of control group [（7.32±1.12） scores vs （4.36±1.23） scores]（P〈0.05）.The rate of vaginal delivery in the observation group was 85.33%,higher than 66.67% in the control group,the rate of cesarean section was 12.00%,lower than 25.33% in the control group,and the difference between two groups was statistically significant （P〈0.05）;two groups had no significant difference in the rate of midwifery （P〉0.05）.The bleeding amount of birth and length of stay in the obser- vation group was significantly less than that in the control group （P〈0.05）,and there was no significant difference in Ap- gar score of two groups （P〉0.05）.Conclusion COOK cervical balloon for cervical ripening and induction of labor in term pregnancy has a good clinical effect and can reduce the risk of pregnant women,it is worth popularizing widely.

关 键 词：宫颈球囊 宫颈成熟 引产 催产素 

分 类 号：R719.3[医药卫生—妇产科学]