摘要
目的：探讨Cook 宫颈扩张球囊应用于妊娠晚期人工引产方法终止妊娠的有效性。方法：选择2010年8月-2012年8月在本院住院，妊娠42周前而未临产，或妊娠晚期由于母亲或胎儿原因，需要通过人工的引产方法终止妊娠，宫颈评分2~6分，自愿选择应用Cook宫颈扩张球囊的妊娠晚期初产妇患者100例，其中宫颈长度小于1 cm的50例为A组，宫颈长度大于1 cm的50例为B组。比较两组产妇引产情况及产痛情况。结果：两组取囊时宫颈扩张到1~2 cm、2~3 cm例数、临产时间、第一产程潜伏期、活跃期比较差异均有统计学意义（P〈0.05）；第二产程、第三产程及失败例数比较差异均无统计学意义（P〉0.05）；以长海痛尺为标准，两组产妇疼痛情况比较差异有统计学意义（P〈0.05）。球囊引产成功率与引产术宫颈管长度呈负相关（r=-0.36， P〈0.001），与取囊时宫颈扩张情况呈正相关（r=0.52，P〈0.001）。结论：Cook宫颈扩张球囊的置入可缩短产程，减轻产妇的产痛，尤其对宫颈长度小于1 cm的产妇效果更好。
Objective：To investigate the Cook cervical dilation balloon（view）use in late pregnancy induced labor methods for pregnancy termination in comparative effectiveness. Method：100 patients with late pregnancy primigravida in our hospital from August 2010 to August 2012 were selected,they were before 42 weeks of pregnancy without labor,or late pregnancy due to the mother or fetus,through artificial induction method for termination of pregnancy,cervical score 2-6 points,voluntary choice used Cook cervical dilation balloon. Then 50 cases were randomly selected with cervical length of less than 1 cm for the group A,50 cases of cervical length greater than 1 cm for the group B. The maternal labor conditions,labor pain conditions of two groups were comparison.Result：The sac while cervical dilation to 1-2 cm,2-3 cm,labor time,the first stage of latency and active phase of the two groups were compared,the differences were statistically significant（P〈0.05）;the second stage of labor,third labor time and failure cases were compared,the differences were not statistically significant（P〉0.05）. Changhai pain rating scale was selected as the standard,difference of the pain between the two groups had statistical significance（P〈0.05）. The successful rate of balloon induced labor was negatively related to cervical tube length during induction of labor. The successful rate of balloon induced labor is positively related to the cervical dilatation while taking sac（r=-0.36,r=0.52,P〈0.001）. Conclusion：The placement of Cook cervical dilation balloon shortens the production process,reduces the maternal pain, especially for the cervical length less than 1 cm of maternal,the effect is better.
出处
《中国医学创新》
CAS
2014年第30期48-50,共3页
Medical Innovation of China
关键词
宫颈扩张
宫颈成熟
引产
产痛
Dilatation of the cervix
Cervical ripening
Labor
Labor pain
