COOK宫颈扩张球囊促宫颈成熟并引产的效果研究  

Effect of COOK cervical dilation balloon on cervical maturation promoting and inducing labor

作　　者：何翠仪 何雁红 文惠转 黄国伟 He Cuiyi;He Yanhong;Wen Huizhuan;Huang Guowei(Department of Obstetrics,Shunde Hospital Affiliated to Jinan University,Foshan 528305,China)

机构地区：[1]暨南大学附属顺德医院产科,广东佛山528305

出　　处：《实用妇科内分泌电子杂志》2022年第11期56-58,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨COOK宫颈扩张球囊促宫颈成熟并引产的效果。方法回顾性分析在本院产科行引产手术的80例足月妊娠分娩产妇的临床资料,均使用COOK宫颈扩张球囊,分析其引产结局、干预前后产妇宫颈Bishop评分、促宫颈成熟有效率、各项分娩指标及并发症发生情况。结果80例产妇中,引产成功71例,引产成功率为88.75%;剖宫产9例,剖宫产率为11.25%。干预前,产妇的宫颈Bishop评分为(3.61±0.72)分;干预后24 h,产妇的宫颈Bishop评分提高至(7.31±1.24)分,差异有统计学意义(P<0.05)。促宫颈成熟总有效率为92.50%o产妇的临产时间为(15.82±2.01)h,总产程时间为(7.26±1.45)h,产后出血量为(259.06±111.73)ml,新生儿5 min Apgar评分为(9.99±0.11)分。产妇并发症发生率为27.50%(22例),围产儿并发症发生率为2.50%(2例)。结论COOK宫颈扩张球囊促宫颈成熟并引产的效果显著,能有效提高宫颈成熟率及引产成功率,降低剖宫产率,缩短临产时间,减少母婴并发症,具有积极的临床意义。Objective To investigate the effect of COOK cervical dilation balloon on cervical maturation promoting and inducing labor.Methods The clinical data of 80 full-term pregnant women who underwent labor induction in our hospital were retrospectively analyzed.Cook cervical dilation balloon was used.The outcomes of induced labor,cervical Bishop score before and after intervention,effective rate of cervical maturation,delivery indicators and complications before and after intervention were analyzed.Results Among the 80 cases,71 cases were successfully induced,and the success rate of induced labor was 88.75%;there were 9 cases of cesarean section,the rate of cesarean section was 11.25%.Before intervention,the Bishop score of cervix of puerpera was(3.61±0.72)points;24 h after intervention,the cervical Bishop score of puerpera increased to(7.31±1.24)points,and the difference was statistically significant(P<0.05).The total effective rate of cervical maturation was 92.50%.The labor time was(15.82±2.01)h,the total labor time was(7.26±1.45)h,the postpartum blood loss was(259.06±111.73)ml,and the neonatal Apgar score at 5 minutes was(9.99±0.11)points.The incidence of maternal complications was 27.50%(22 cases),and the incidence of perinatal complications was 2.50%(2 cases).Conclusion COOK cervical dilatation balloon has a significant effect on cervical maturation and labor induction,which can effectively improve the rate of cervical maturation and the success rate of labor induction,reduce the rate of cesarean section,shorten the time of labor,reduce maternal and infant complications,and has positive clinical significance.

关 键 词：足月妊娠引产 COOK宫颈扩张球囊 促宫颈成熟 效果 

分 类 号：R719.3[医药卫生—妇产科学]