摘要
目的比较单腔球囊和COOK球囊在孕足月中促宫颈成熟及引产的临床效果。方法选取2016年1月-2017年6月我院产科收治的126例符合引产指征的产妇,均使用宫颈扩张球囊引产。其中61例产妇选用单腔球囊引产,65例产妇选用COOK球囊引产。比较两组的促宫颈成熟有效率、诱发有效宫缩所需时间、第一产程时间、总产程时间、顺产率、自然临产率以及产后出血、羊水浑浊、产褥感染和新生儿窒息发生率。结果单腔球囊组和COOK球囊组诱发有效宫缩所需时间分别为(16.39±2.68)h,(14.54±3.30)h,两组比较差异有统计学意义(P<0.05)。两组的其余项目比较差异均无统计学意义(P>0.05)。结论单腔球囊与COOK球囊在孕足月中促宫颈成熟效果相似。不同的是,单腔球囊诱发有效宫缩所需时间长于COOK球囊,但对产妇及新生儿无不良影响。两种球囊均推荐在孕足月促宫颈成熟及引产中使用。
Objective To explore the clinical effects of single-cavity and COOK cervical ripening balloonin promoting full-term pregnancy cervical mature and inducing labour. Methods 126 puerpera who were expect-ant in the obstetrics department of our hospital were selected from January 2016 to June 2017,and all of the puer-pera were induced labor by cervical ripening balloon. In 61 of them,single-cavity balloon was used,and 65 caseswere induced labor by COOK balloon. Determining the cervical ripening situation,the time needed for inducingefficient uterine contraction,the first stage of labor time,the total labor time,vaginal delivery rate,natural laborsituation,postpartum hemorrhage,amniotic fluid turbidity,puerperal infection and newborn asphyxia of the twogroups. Results the time needed for inducing efficient uterine contraction of the two groups were（16.39±2.68）h,（14.54 ± 3.30）h,and the two groups were statistically different（P〈0.05）. There were no statistically significantdifferences in other items of two groups（P〈0.05）. Conclusion single-cavity balloon and COOK balloon are sim-ilar in promoting full-term pregnancy cervical ripening. The difference is that the time needed for inducing efficientuterine contraction of the single-cavity balloon is longer than COOK balloon,but have no adverse effect to the puer-pera and the newborn. Both types of balloons are recommended to be used in promoting full-term pregnancy cervicalripening and inducing labor.
作者
刘娜
朱薏
张兰珍
LIU Na;ZHU Yi;ZHANG Lanzhen(The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China)
出处
《实用医学杂志》
CAS
北大核心
2018年第8期1301-1304,共4页
The Journal of Practical Medicine
基金
广东省科技计划项目基金(编号:2016ZC0135)
关键词
单腔球囊
COOK球囊
促宫颈成熟
引产
the single-cavity balloon
COOK balloon
promoting fullterm pregnancy cervical ripening
inducing labor
