宫颈水囊扩张法与COOK球囊在孕晚期初产妇引产中的应用效果对比  

Application Comparison of Cervical Water Sac Dilation Method and COOK Balloon Induced Labor for Late Stage Primipara

作　　者：何秋莲 HE Qiulian(Shunde Women and Children's Hospital,Guangdong Medical University(Foshan City Shunde District Maternal and Child Health Hospital),Foshan,Guangdong 528300)

机构地区：[1]广东医科大学顺德妇女儿童医院(佛山市顺德区妇幼保健院),广东佛山528300

出　　处：《智慧健康》2024年第18期137-139,155,共4页Smart Healthcare

基　　金：佛山市卫生健康局医学科研课题《宫颈水囊扩张法与COOK球囊对晚期初产妇引产的应用对比》(项目编号:20220102)。

摘　　要：目的对比分析晚期初产妇分别采用宫颈水囊扩张法与COOK宫颈扩张球囊(COOK球囊)进行引产的效果。方法以2022年1月—2023年6月来本院就诊的200例妊娠晚期初产妇为观察对象,按照随机原则对其分组,每组100例。A组采用小剂量缩宫素联合宫颈水囊扩张法引产,B组采取小剂量缩宫素联合COOK球囊导管引产,以产妇治疗12h后宫颈Bishop评分情况为依据,判断其促宫颈成熟效果,并对其治疗有效性进行评价,观察产妇诱发宫缩至临床时间、第一产程、总产程时间及其不良妊娠结局等,对比两种引产方法的有效性与安全性。结果A组产妇治疗阴道分娩率与B组相比较高,剖宫产率与B组相比较低(P<0.05),且A组产妇诱发宫缩至临床时间、第一产程时间与总产程时间都短于B组(P<0.05),但两组12h宫颈Bishop评分、产后出血率、宫内窘迫率与宫颈裂伤率与B组无明显差异(P>0.05)。结论妊娠晚期初产妇采用宫颈水囊扩张法与COOK球囊均可有效促进宫颈成熟、缩短产程并提高阴道分娩率,改善产妇的不良妊娠结局,保障产妇引产安全性,宫颈单水囊扩张法在改善宫颈成熟度方面更为理想,舒适度更高。Objective To explore effect of cervical water sac dilation and COOK balloon induced labor for late stage primipara.Methods The paper chose 200 primipara at late pregnancy in the hospital from January 2022 to June 2023,and divided them into two groups randomly,with 100 cases in each group.group A was treated with induced labor of small dose of oxytocin combined with cervical balloon dilation,while group B with induced labor of small dose of oxytocin combined with COOK double balloon catheter.Effect of promoting cervical maturation was diagnosed based on the Bishop scores of cervix after 12 hours of treatment,curative effect was evaluated.Time for inducing uterine contractions to clinical stage,first stage of labor,total stage of labor,and adverse pregnancy outcomes were observed,effect and safety of two induction methods was compared.Results Vaginal delivery rate in group A was higher than group B,while cesarean section rate was lower than group B(P<0.05).Induction time of uterine contractions,first stage of labor,total stage of labor in group A was shorter than group B(P<0.05).However,there was no significant difference in 12 hour cervical Bishop scores,postpartum hemorrhage rate,intrauterine distress rate,and cervical laceration rate between two groups,(P>0.05).Conclusion COOK double balloon and cervical balloon dilation technique can effectively promote,increase vaginal delivery rate,improve adverse pregnancy outcomes,and ensure the safety of induced labor of late pregnancy primipara.The cervical single water sac dilatation method is more ideal in improving the cervical maturity, and the comfort degree is higher.

关 键 词：宫颈水囊扩张法 宫缩素 COOK球囊 妊娠晚期 初产妇 引产效果 

分 类 号：R719.3[医药卫生—妇产科学]