摘要
目的比较COOK宫颈扩张球囊和缩宫素在促宫颈成熟及引产中的效果。方法选取2017年9月～2018年9月于我院住院待产的200例初产妇,随机分为观察组和对照组,每组各100例。观察组给予COOK宫颈扩张球囊引产,对照组给予缩宫素引产,比较两组的宫颈Bishop评分、自然分娩率、剖宫产率、产程时间、产后出血量、新生儿情况和引产相关并发症。结果观察组的Bishop评分显著高于对照组,差异有统计学意义(P<0.05)。观察组的自然分娩率高于对照组,差异有统计学意义(P<0.05)。观察组的剖宫产率显著低于对照组,产后出血量显著少于对照组,总产程时间短于对照组,差异有统计学意义(P<0.05)。观察组的胎儿窘迫、新生儿窒息及羊水粪染发生率均显著低于对照组,差异有统计学意义(P<0.05)。观察组新生儿的Apgar评分显著高于对照组,差异有统计学意义(P<0.05)。观察组孕产妇引产并发症的总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 COOK宫颈扩张球囊可有效促进宫颈成熟,提高自然分娩率,缩短产程,降低剖宫产率,改善母婴结局,降低引产并发症发生率,值得临床推广。
Objective To compare the effect of COOK cervical dilatation balloon and Oxytocin in promoting cervical ripening and induction of labor.Methods A total of 300 primiparas who were hospitalized in our hospital from September 2017 to September 2018 were selected and randomly divided into the observation group and the control group,150 cases in each group.The observation group was given COOK cervical dilatation balloon to induce labor,and the control group was given Oxytocin to induce labor.The cervical Bishop score,natural delivery rate,cesarean section rate,labor time,postpartum hemorrhage,neonatal condition and labor-related complications were compared between the two groups.Results The Bishop score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The cesarean section rate of the observation group was significantly lower than that of the control group,and the postpartum hemorrhage volume of the observation group was less than that of the control group,and the total labor time of the observation group was shorter than that of the control group,the difference was statistically significant(P<0.05).The incidence of neonatal fetal distress,neonatal asphyxia and amniotic fluid fecal infection in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The Apgar score of the newborns in the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications of maternal labor induction in the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion COOK cervical dilatation balloon can effectively promote cervical ripening,improve natu
作者
张源凤
张媛
刘怡雪
ZHANG Yuan-feng;ZHANG Yuan;LIU Yi-xue(Department of Obstetrics and Gynecology,Maternal and Child Health Care Hospital of Yangjiang City,Guangdong Province,Yangjiang 529500,China)
出处
《中国当代医药》
2019年第11期86-88,98,共4页
China Modern Medicine
基金
广东省阳江市科技计划项目(社发[2017]50)
关键词
COOK宫颈扩张球囊
缩宫素
促宫颈成熟
引产
COOK cervical dilatation balloon
Oxytocin
Promote cervical ripening
Induction of labor
