摘要
目的探讨COOK宫颈球囊对晚期妊娠促宫颈成熟及引产效果。方法将来自2014年1月至2016年1月的226例足月妊娠拟实施计划分娩初产妇分为实验组(113例)和对照组(113例),实验组采用COOK宫颈球囊引产,而对照组采用缩宫素。统计两组的12 h后宫颈Bishop评分、疗效、产后出血量、分娩方式、住院时间、新生儿Apgar评分、助产率和不良事件。采用卡方检验和t检验分析相关数据。结果实验组的12 h后宫颈Bishop评分、显效率和总有效率均明显高于对照组(P<0.05);实验组的剖宫产构成比和住院时间均明显少于对照组(P<0.05),但两组的不良事件发生率差异无统计学意义(P>0.05)。结论 COOK宫颈球囊一种有效的促宫颈成熟方法,可降低剖宫产率和缩短住院时间,并且不良事件发生率低,值得推荐。
Objective This article aimed to investigate the efficacy of Cook cervical balloon in promoting cervical ripening and induced labour in late pregnancy. Methods 226 case of full- term primipara those who would go to implement proposed childbirth during January 2014 and January 2016 were received,they were divided into experimental group（ 113 cases） and control group（ 113 cases）. Experimental group were treated with Cook cervical balloon,and the control group were treated with oxytocin. The Bishop score of the cervix after12 h,curative effect,and amount of postpartum hemorrhage,mode of delivery,length of stay,neonatal Apgar score,delivery rate and adverse events of the two groups were recorded. Chi- square test and t test were used to analyze the data. Results The Bishop score of the cervix after 12 h,excellence rate and total effective rate of the experimental group were all significantly higher than those of control group（ P〈0. 05）. The constituent ratio of uterine- incision delivery and length of stay of the experimental group were all significantly less than those of control group（ P〈0. 05）. The incidence rate of adverse reaction in the two groups had no significant difference（ P〉0. 05）. Conclusions It is an effective method that use Cook cervical balloon to promote cervical ripening,it can reduce the constituent ratio of uterine- incision delivery and shorten the length of stay,and the incidence rate of adverse reaction is low as well,so it is worthy of promotion.
出处
《齐齐哈尔医学院学报》
2016年第17期2132-2134,共3页
Journal of Qiqihar Medical University
基金
惠州市科技计划项目(编号:2015Y029)
关键词
COOK宫颈球囊
引产
缩宫素
疗效
Cook cervical balloon
Induced
Oxytocin
Curative effect
