摘要
目的:观察并评价COOK宫颈扩张球囊(cervical ripening balloon,CRB)联合人工破膜及催产素静脉点滴在足月妊娠引产中的临床效果。方法:选择2016年6月—2018年6月在本院住院的有足月妊娠引产指征的初产妇374例,根据随机对照试验分为对照组和观察组,各187例。对照组给予催产素静脉点滴促宫颈成熟及引产,观察组给予COOK宫颈扩张球囊联合人工破膜及催产素静脉点滴促宫颈成熟及引产。比较两组促宫颈成熟效果、引产效果、分娩方式、母儿不良影响。结果:观察组促宫颈成熟总有效率为96.26%,明显高于对照组的68.98%,差异有统计学意义(P<0.05)。观察组引产成功率为82.89%,显著高于对照组的62.03%,差异有统计学意义(P<0.05)。观察组的平均临产时间及总产程均短于对照组,差异均有统计学意义(P<0.05)。观察组的剖宫产率明显低于对照组。差异有统计学意义(P<0.05)。分娩结局中,观察组母儿不良影响发生率为5.88%,与对照组的8.56%比较,差异无统计学意义(χ~2=0.998 0,P>0.05)。结论:宫颈扩张球囊联合人工破膜及催产素静脉点滴能够有效地提高引产成功率,显著地降低了剖宫产率,是一种安全、可靠、有效且理想的引产方法。
Objective:To observe and evaluate the clinical effect of cervical ripening balloon(CRB combined with artificial rupture of membranes and Oxytocin intravenous drip to promote cervical ripening in fullterm pregnancy.Method:A total of 374 primiparous women were enrolled in our hospital from June 2016 to June2018 were selected.According to the randomized controlled trial,the patients were divided into control group and observation group,with 187 cases in each group.The control group was given intravenous drip of Oxytocin cervical ripening and induction of labor,the observation group was given COOK cervical dilation balloon combined with artificial rupture of membrane and Oxytocin intravenous drip cervical ripening and induction of labor.The effects of cervical ripening,induction of labor,delivery mode and adverse effects on mother and child were compared between the two groups.Result:The total effective rate of cervical ripening in the observation group was 96.26%,significantly higher than 68.98%in the control group,the difference was statistically significant(P<0.05).The success rate of labor induction in the observation group was 82.89%,significantly higher than 62.03%in the control group,the difference was statistically significant(P<0.05).The average duration of labor and the total duration of labor in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).Cesarean section rate in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).In the outcome of childbirth,the incidence of adverse effects on mothers and children in the observation group was 5.88%,compared with 8.56%in the control group,the difference was not statistically significant(χ~2=0.998 0,P>0.05).Conclusion:Cervical dilated balloon combined with artificial rupture and Oxytocin intravenous drip can effectively improve the success rate of labor induction and significantly reduce the rate of cesarean section,which is a safe,reliable,effective and ideal method of labor induction.
作者
周焕娣
杨林
李苗
朱惠贻
夏燕卿
ZHOU HuANDi;YANG Lin;LI Miao(Dongguan No.8 People’s Hospital,Dongguan 523000,China)
出处
《中国医学创新》
CAS
2019年第14期37-41,共5页
Medical Innovation of China
关键词
足月妊娠
引产
促宫颈成熟
宫颈扩张球囊
催产素
Term pregnancy
Induction of labor
Cervical ripening
Cervical dilation balloon
Oxytocin
