COOK子宫颈扩张球囊在晚期妊娠孕妇促宫颈成熟中的应用价值  

Clinical Observations of Cook Cervical Dilatation Balloon in Promoting Cervical Ripening in Women with Advanced Pregnancy

作　　者：刘颖菊[1] 阮和云[1] 许丽湖[1] 蓝明永[1] LIU Ying-ju;RUAN He-yun;XU Li-hu;et al(Department of Obstetrics ,Minzu Hospital of Guangxi Zhuang Autonomous Region, N＇anning, Guangxi, 530001)

机构地区：[1]广西壮族自治区民族医院产科,广西南宁530001

出　　处：《医学临床研究》2018年第4期661-663,共3页Journal of Clinical Research

摘　　要：【目的】探讨Cook子宫颈扩张球囊在晚期妊娠孕妇促宫颈成熟中的应用价值。【方法】选择2014年1月至2017年1月本院诊治的有引产指征的患者189例,按照处理方式的不同分为Cook子宫颈扩张球囊组（COOK组）、地诺前列酮组和缩宫素组,每组63例。比较各组促宫颈成熟效果和阴道分娩率。【结果】各组在引产前的宫颈Bishop评分比较差异无统计学意义（P〉0.05）;COOK组患者经COOK宫颈扩张球囊处理后宫颈Bishop评分为（4.3±1.9）分,较引产前显著升高（P〈0.05）;而其他两组患者在处理前后宫颈Bishop评分比较差异无统计学意义（P〉0.05）;COOK组中51例患者自然分娩,12例行剖宫产,自然分娩率为80.95%;COOK组与地诺前列酮组的自然分娩率（76.19%）比较差异无统计学意义（P〉0.05）,但均显著高于缩宫素组的58.73%（P〈0.05）。【结论】Cook宫颈扩张球囊作为机械性方法促宫颈成熟,疗效显著,阴道分娩率明显提高,是一种理想的晚期妊娠促宫颈成熟方法。【Objective】To analyze the clinical effects of Cook cervical dilatation balloon in promoting the cervical ripening in women with late-stage pregnancy.【Methods】A total of 189 cases of induced abortion syndrome patients from January 2014 to January 2017 in our hospital were included in the study. According to the different processing methods, patients were divided into Cook cervical dilatation balloon group （COOK group）, dinoprostone group and oxytocin group, with 63 cases in each group. The effects of cervical ripening and the rate of vaginal delivery among those groups were compared.【Results】There were no significant differences in cervical Bishop scores among the three groups before induction of labor （P〉0.05）. In the COOK group, the cervical Bishop score was （4.3±1.9） after Cook cervical dilatation balloon treatment, which was significantly higher than that before induction of labor （P〈0.05）. No statistical difference was shown in cervical Bishop score between the dinoprostone group and oxytocin group before and after treatment （P〉0.05）. In the Cook group, 51 cases of natural childbirth, and 12 cases of cesarean section; the vaginal delivery rate was 80.95%.The rate of natural childbirth in the dinoprostone group was 76.19%, which was not significant different compared to the COOK group （P〉0.05）, however, they both were significantly higher than that in the oxytocin group （58.73% P〈0.05）.【Conclusion】Cook cervical dilatation balloon is used as a mechanical method to promote cervical ripening, which can increase vaginal delivery rate significantly with high safety levels and fewer complications. It is an ideal method for promoting cervical ripening in late-stage pregnancy.

关 键 词：妊娠末期 子宫颈 气囊扩张术 宫颈成熟 孕妇 

分 类 号：R714.1[医药卫生—妇产科学]