COOK双球囊导管与地诺前列酮栓在足月妊娠产妇引产中的应用效果比较  

Comparison of effects of COOK double-balloon catheter and Dinoprostone suppositories induced labor in full-term pregnant women

作　　者：蔡雅雅 CAI Yaya(Department of Obstetrics and Gynecology of Shishi Maternal and Child Health Hospital,Quanzhou 362700 Fujian,China)

机构地区：[1]石狮市妇幼保健院妇产科,福建泉州362700

出　　处：《中国民康医学》2024年第14期146-149,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较COOK双球囊导管与地诺前列酮栓在足月妊娠产妇引产中的应用效果。方法:选取2021年2月至2023年2月该院妇产科收治的86名足月妊娠产妇进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各43名。对照组采用地诺前列酮栓引产,研究组采用COOK双球囊导管引产,比较两组促宫颈成熟效果、妊娠结局、宫颈成熟度、产后48 h并发症发生率、各产程时间和临产时间。结果:研究组促宫颈成熟总有效率为95.35%(41/43),高于对照组的79.07%(34/43),差异有统计学意义(P<0.05);研究组阴道分娩率、新生儿Apgar评分均高于对照组,剖宫产率低于对照组,产后24 h出血量少于对照组,差异有统计学意义(P<0.05);置入后6 h,两组宫颈Bishop评分均高于置入前1 h,且研究组高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为4.65%(2/43),低于对照组的18.60%(8/43),差异有统计学意义(P<0.05);研究组第一产程、第二产程和第三产程时间和临产时间均短于对照组,差异有统计学意义(P<0.05)。结论:COOK双球囊导管应用于足月妊娠产妇引产中可提高促宫颈成熟总有效率和Bishop评分,改善妊娠结局,缩短各产程时间和临产时间,降低产后并发症发生率,效果优于地诺前列酮栓。Objective:To compare effects of COOK double-balloon catheter and Dinoprostone suppositories induced labor in full-term pregnant women.Methods:A prospective study was conducted on 86 full-term pregnant women admitted to the obstetrics department of the hospital from February 2021 to February 2023.According to the random number table method,they were divided into study group and control group,43 cases in each group.The control group was induced by Dinoprostone suppositories,while the study group was induced by COOK double-balloon catheter.The total effective rate of cervical ripening,the pregnancy outcome,the cervical maturity,the incidence of complications 48 hours after delivery,the duration of labor,and the labor time were compared between the two groups.Results:The total effective rate of cervical ripening in the study group was 95.35%(41/43),which was higher than 79.07%(34/43)in the control group,and the difference was statistically significant(P<0.05).The vaginal delivery rate and the Apgar score of the study group were higher than those of the control group,the cesarean section rate was lower than that of the control group,the amount of bleeding 24 hours after delivery was less than that of the control group,and the differences were statistically significant(P<0.05).6 h after implantation,the cervical Bishop scores of the two groups were higher than those 1 h before implantation,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 4.65%(2/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(P<0.05).Further,the time of the first stage of labor,the second stage of labor,the third stage of labor and the labor time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The application of COOK double-balloon catheter in the full-term pregnant women induced l

关 键 词：COOK双球囊导管 地诺前列酮栓 足月妊娠 引产 促宫颈成熟 妊娠结局 BISHOP评分 

分 类 号：R714[医药卫生—妇产科学]