摘要
目的探讨COOK宫颈球囊在孕妇引产中的应用效果及对妊娠结局的影响。方法选取2018年6月~2020年1月在我院进行待产的足月妊娠孕产妇98例作为研究对象,采用随机数字表法将其分为两组,每组各49例。对照组采用缩宫素催产,观察组采用COOK宫颈球囊引产。比较两组孕产妇宫颈成熟度、新生儿情况及孕产妇分娩情况,并统计孕产妇不良反应发生情况。结果干预前,两组孕产妇的宫颈Bishop评分比较,差异无统计学意义(P>0.05);干预后,两组孕产妇的宫颈Bishop评分均高于本组干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组孕产妇总产程短于对照组,自然分娩率高于对照组,剖宫产率和不良反应总发生率低于对照组,差异有统计学意义(P<0.05);两组新生儿Apgar评分、新生儿窒息率、孕产妇产后出血量比较,差异无统计学意义(P>0.05)。结论孕妇引产中采用COOK宫颈球囊可提高宫颈Bishop评分,促进宫颈成熟,改善妊娠结局,减少剖宫产率,缩短产程,值得临床应用推广。
Objective To explore the application effect of COOK cervical balloon in induced labor of pregnant women and its influence on pregnancy outcome.Methods A total of 98 full-term pregnant women who were expected to give birth in our hospital from June 2018 to January 2020 were selected as the research objects,they were divided into two groups by random number table method,with 49 cases in each group.The control group was given Oxytocin to induce labor,and the observation group was given COOK cervical balloon in induced labor.The cervical maturity,newborn conditions and maternal delivery were compared between two groups,and the occurrence of maternal adverse reactions was counted.Results Before intervention,there was no significant difference in the cervical Bishop score of pregnant women of the two groups(P>0.05);after intervention,the cervical Bishop scores of pregnant women of two groups were higher than those in this group before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The total labor time in the observation group was shorter than that in the control group,the natural delivery rate in the observation group was higher than that in the control group,the cesarean section rate and the total incidence of adverse reactions in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the neonatal Apgar score,neonatal asphyxia rate and postpartum bleeding volume between the two groups(P>0.05).Conclusion The use of COOK cervical balloon in induced labor of pregnant women can increase cervical Bishop score,promote cervical maturity,improve pregnancy outcome,reduce cesarean section rate,and shorten the stages of labor,which is worthy of clinical application and promotion.
作者
余秀艳
张录兰
陈耀
冯翰
涂文菲
谢雯
余洋
YU Xiu-yan;ZHANG Lu-lan;CHEN Yao;FENG Han;TU Wen-fei;XIE Wen;YU Yang(Department of Obstetrics and Gynecology,Jingdezhen NO.1 People′s Hospital,Jiangxi Province,Jingdezhen333000,China)
出处
《中国当代医药》
2020年第26期88-90,94,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(20204339)。
关键词
引产
COOK宫颈球囊
妊娠结局
Induced labor
COOK cervical balloon
Pregnancy outcome
