COOK水囊对孕晚期孕妇宫颈成熟的影响  

The Effect of COOK Ballon on Cervical Maturation in Late Pregnant Women

作　　者：刘健 张佃梅 邱淑琼 LIU Jian;ZHANG Dianmei;QIU Shuqiong(Department of Obstetrics and Gynecology,Zhucheng Maternal and Child Health Hospital,Weifang,Shandong,262200,China)

机构地区：[1]诸城市妇幼保健院妇产科,山东潍坊262200

出　　处：《中外医疗》2025年第4期1-5,共5页China & Foreign Medical Treatment

基　　金：2023年潍坊市卫生健康委员会科研计划项目(WFWSJK-2023-067)。

摘　　要：目的探讨米索前列醇、地诺前列酮、Foley尿管水囊及COOK水囊等对孕晚期孕妇宫颈成熟的应用效果。方法方便选取2023年3—10月诸城市妇幼保健院收治的145例孕晚期足月有引产指征的孕妇为研究对象,根据不同治疗方法分为A、B、C、D组,其中A、B、C组各36例,D组37例。A组采取米索前列醇治疗,B组接受地诺前列酮栓治疗,C组接受Foley尿管水囊治疗,D组接受COOK水囊治疗。比较4组产妇的促宫颈成熟效果、分娩情况、产妇分娩方式、并发症发生情况。结果4组产妇宫颈成熟效果比较,D组促宫颈成熟总有效率高于A组、B组、C组,差异均有统计学意义(P均<0.05)。4组产妇产后出血量与并发症发生率对比,差异均无统计学意义(P均>0.05)。A组、B组引产至临产时间、引产至分娩时间均短于C、D组,且C组短于D组,差异均有统计学意义(P均<0.05)。D组自然分娩率83.78%(31/37),与A组80.56%(29/36)、B组77.78%(28/36)、C组80.56%(29/36)对比,差异均无统计学意义(χ^(2)=0.130,0.425,0.130;P均>0.05)。结论COOK水囊生产应对孕晚期孕妇宫颈成熟,存在理想的临床疗效;但在引产至临产时间、引产至分娩时间效果不如药物的应用效果。Objective To explore the application effects of misoprostol,dinoprostone,Foley catheter balloon,and COOK balloon on cervical ripening in pregnant women during the third trimester.Methods A total of 145 pregnant women with full-term indications for labor induction in late pregnancy admitted to Zhucheng Maternal and Child Health Hospital from March to October 2023 were conveniently selected as research objects and divided into groups A,B,C,and D according to different treatment methods.There were 36 cases in each of groups A,B,and C,and 37 cases in group D.Group A was treated with misoprostol,group B was treated with dinoprostone suppository,group C was treated with Foley catheter balloon,and group D was treated with COOK balloon.The effects of promoting cervical ripening,delivery conditions,delivery methods of parturients,and occurrence of complications were compared among the four groups.Results Regarding the comparison of cervical ripening effects among the four groups of parturients,the total effective rate of promoting cervical ripening in group D were higher than those in groups A,B and C,and the dif⁃ference was statistically significant(all P<0.05).There was no statistically significant difference in the comparison of the total amount of postpartum hemorrhage and the incidence of complications among the four groups of parturients(both P>0.05). The time from induction of labor to the onset of labor and the time from induction of labor to delivery ingroups A and B were shorter than those in groups C and D, and the time in group C was shorter than that in group D,and the differences were statistically significant (all P<0.05). The natural delivery rate of group D was 83.78% (31/37),compared with 80.56% (29/36) of group A, 77.78% (28/36) of group B and 80.56% (29/36) of group C, the differenceswere not statistically significant (χ^(2)=0.130, 0.425, 0.130;all P>0.05).Conclusion The COOK balloon has an idealclinical effect in promoting cervical ripening in pregnant women during the third trimester;however, its

关 键 词：孕晚期妊娠 宫颈成熟 分娩方式 

分 类 号：R71[医药卫生—妇产科学]