COOK球囊联合催产素和人工破膜在足月宫颈条件不成熟孕妇引产中应用效果对比研究  

Comparative study on application of COOK balloon combined with oxytocin and artificial rupture of membrane in induced labor of full-term pregnant women with immature cervical conditions

作　　者：周小娟 郑春燕 张静雯 陈丽君 ZHOU Xiaojuan;ZHENG Chunyan;ZHANG Jingwen;CHEN Lijun(Department of Gynaecology and Obstetrics,Longquan People's Hospital,Longquan 323700,Zhejiang,China)

机构地区：[1]龙泉市人民医院妇产科,浙江龙泉323700

出　　处：《中国性科学》2024年第6期102-105,共4页Chinese Journal of Human Sexuality

摘　　要：目的对比分析COOK球囊联合催产素和人工破膜在足月宫颈条件不成熟孕妇引产中的应用价值。方法选取2019年3月至2022年3月于龙泉市人民医院待产的85例足月宫颈条件不成熟孕妇作为研究对象,按随机数字表法分为球囊组(n=42)和人工破膜组(n=43),球囊组采用COOK球囊联合催产素引产,人工破膜组采用人工破膜引产。对比两组促宫颈成熟效果、产妇应激水平、产程及分娩结局。结果球囊组引产后24 h的Bishop评分高于人工破膜组(P<0.05),且促宫颈成熟总有效率高于人工破膜组(P<0.05);球囊组血清儿茶酚胺(CA)、皮质醇(Cor)水平均低于人工破膜组(P<0.05);球囊组第一产程、第二产程均较人工破膜组短(P<0.05);球囊组转剖宫产率及不良事件发生率均较人工破膜组低(P<0.05)。结论相较于人工破膜,COOK球囊联合催产素促宫颈成熟效果更佳,可减轻产妇应激反应,缩短产程,降低剖宫产率及不良事件发生率。Objective To compare and analyze the application value of COOK balloon combined with oxytocin and artificial rupture of membrane in induced labor of full-term pregnant women with immature cervix conditions.Methods A total of 85 full-term pregnant women with immature cervical conditions who were waiting for delivery in Longquan People's Hospital from March 2019 to March 2022 were selected as the study subjects,and were divided into balloon group(n=42)and artificial rupture of membrane group(n=43)according to the number table method.COOK balloon combined with oxytocin for induced labor was used in balloon group while artificial rupture of membrane was applied in artificial rupture of membrane group.The cervical maturation promotion effect,maternal stress level,stages of labor and labor outcomes were compared between the two groups.Results The Bishop score in balloon group was higher than that in artificial rupture of membrane group at 24 hours after labor induction(P<0.05),and the total effective rate of cervical maturation promotion was higher than that in artificial rupture of membrane group(P<0.05).The levels of serum catecholamine(CA)and cortisol(Cor)in balloon group were lower than those in artificial rupture of membrane group(P<0.05).The duration of first stage of labor and duration of second stage of labor were shorter in balloon group compared with those in artificial rupture of membrane group(P<0.05).The rate of conversion to cesarean section and incidence rates of adverse outcomes were lower in balloon group than those in artificial rupture of membrane group(P<0.05).Conclusions Compared with artificial rupture of membrane,COOK balloon combined with oxytocin has a better cervical maturation promotion effect,and can better relieve the maternal stress response,shorten the stages of labor,and reduce the cesarean section rate and incidence rates of adverse outcomes.

关 键 词：宫颈条件不成熟 COOK球囊 催产素 人工破膜 

分 类 号：R714[医药卫生—妇产科学]