摘要
目的：评估COOK宫颈扩张球囊在足月妊娠引产中的安全性及有效性。方法2014年1月～2015年4月采用COOK宫颈扩张球囊促宫颈成熟并引产98例（实验组），2010年1月～2013年9月使用缩宫素静脉滴注促宫颈成熟并引产130例孕妇（对照组），比较2组宫颈评分、分娩方式、不良反应等情况。结果取出COOK宫颈扩张球囊后，实验组宫颈成熟度由放置前（2.38±0．70）分，提高到放置后（6．15±0．96）分（t＝31．412，P＝0．000），宫颈成熟度显著提高。实验组阴道分娩率79．6%（78／98），显著高于对照组62．3%（81／130，χ2＝7．910，P＝0．005）。对照组羊毛膜绒膜炎发生率5．4%（7／130），显著低于实验组18．4%（18／98，χ2＝9．647，P＝0．002）。2组其他不良反应发生率无统计学差异（P＞0．05）。结论 COOK宫颈扩张球囊是一种安全有效的促宫颈成熟方法，结合人工破膜或静脉点滴缩宫素能够提高足月妊娠引产成功率。
Objective To evaluate the efficacy and safety of COOK cervical dilatation balloon for induced labor in full -term pregnancy . Methods There were 98 cases of cervical ripening and induced labor by using COOK balloon from January 2014 to April 2015 （ experimental group ） and 130 cases of cervical ripening and induced labor by using oxytocin from January 2010 to September 2013 （ control group ） .The cervical scores , childbirth way , and adverse reactions were compared between the two groups . Results After the removal of the balloon, the cervical scores in the experimental group increased from （2.38 ±0.70） points to （6.15 ±0.96） points （t=31.412, P =0.000）.The rate of vaginal delivery in the experimental group （79.6%, 78/98） was significantly higher than that in the control group [62.3%（81/130）,χ^2 =7.910, P=0.005].The incidence of chorioamnionitis in the control group was 5.4% （7/130）, which was significantly lower than that in the experimental group [18.4% （18/98）, χ^2 =9.647,P=0.002）.The other adverse reactions in two groups had no statistical difference （P 〉0.05）. Conclusions Use of COOK cervical dilation balloon is a safe and effective method to promote cervical ripening .In combination with artificial rupturing membrane or intravenous infusion of oxytocin can improve the success rate of full -term pregnancy induced labor .
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第7期597-600,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
宫颈扩张球囊
缩宫素
促宫颈成熟
引产
Cervical dilatation balloon
Oxytocin
Cervical ripening
Induced labor
