人工破膜与COOK双球囊引产在足月妊娠产妇中的应用效果  

Application effect of artificial rupture of membranes and COOK double-balloon induction on labor time and maternal and infant outcomes in full-term pregnant women

作　　者：刘丽 赖利珍 李丽丽 卢兰段 LIU Li;LAI Lizhen;LI Lili;LU Landuan(Department of Obstetrics,Huiyang Sanhe Hospital in Huizhou City,Guangdong Province,Huizhou 516200,China)

机构地区：[1]广东省惠州市惠阳三和医院产科,广东惠州516200

出　　处：《中国当代医药》2022年第32期109-112,共4页China Modern Medicine

基　　金：广东省惠州市科技计划项目(210818156941816)。

摘　　要：目的探讨和比较人工破膜与COOK双球囊引产在足月妊娠产妇中的应用效果。方法选取2021年4月至2022年2月广东省惠州市惠阳三和医院产科收治的100例足月妊娠产妇作为研究对象,采用随机数字表法将其分为观察组(50例)和对照组(50例)。对照组产妇实施人工破膜引产措施,观察组产妇在对照组基础上使用COOK双球囊引产措施。比较两组产妇的各个产程、干预前后的宫颈成熟情况;比较两组产妇的分娩结局、产后出血情况;比较两组新生儿阿氏(Apgar)评分。结果观察组产妇干预后的第一产程和总产程均短于对照组,差异有统计学意义(P<0.05);观察组干预后的宫颈成熟度评分(宫颈Bishop评分)高于对照组,差异有统计学意义(P<0.05);两组产妇的不良分娩结局总发生率比较,差异无统计学意义(P>0.05);观察组产妇产后1、2 h的出血量均少于对照组,差异有统计学意义(P<0.05);观察组新生儿的出生后1、5 min Apgar评分均高于对照组,差异有统计学意义(P<0.05)。结论在足月妊娠产妇的引产当中,COOK双球囊的应用能够缩短总产程,提高宫颈成熟程度,改善分娩结局,减少不良结局的发生,进一步控制产后出血量,提高新生儿的Apgar评分,值得研究和借鉴。Objective To investigate and compare the application effect of artificial rupture of membrane and COOK double-balloon induction of labor in full-term pregnant women.Methods A total of 100 full-term pregnant women admitted to the Department of Obstetrics of Huiyang Sanhe Hospital in Huizhou City,Guangdong Province from April 2021 to February 2022 were selected as the research objects.They were divided into observation group(50 cases)and control group(50 cases)by random number table method.The control group was induced by artificial rupture of membrane,and the observation group was induced by COOK double-balloon on the basis of the control group.The stages of labor and cervical maturation before and after intervention were compared between the two groups.The outcomes of delivery and postpartum hemorrhage were compared between the two groups.Neonatal Apgar scores were compared between the two groups.Results The first stage of labor and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The cervical maturity score(Bishop score)of the observation group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the overall incidence of adverse delivery outcomes between the two groups(P>0.05).The blood loss at 1 and 2 hours after delivery in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The Apgar scores at 1 and 5 min postnatal in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In the induction of labor of full-term pregnant women,the application of COOK double-balloon can shorten the total labor process,improve the degree of cervical maturation and the delivery outcome,reduce the occurrence of adverse outcomes,further control the amount of postpartum blood loss,an

关 键 词：足月妊娠产妇 人工破膜 COOK双球囊 引产 

分 类 号：R271.4[医药卫生—中医妇科学]