双球囊(COOK球囊)用于促宫颈成熟及引产的临床分析

Clinical Analysis of COOK Double Ballon Dilation for Cervical Ripening and Induction of Labor

目的：通过三种引产方式比较,为临床上合理选择引产方式提供理论依据。方法：选择病例,随机分为A组（COOK球囊引产组）、B组（低位小水囊为引产组）、C组（小剂量催产素组）,比较引产12~14h后宫颈成熟度及24h引产成功率、分娩时间、宫缩过强的发生例数、经阴分娩率、剖宫产率新生儿及5min Apgar评分及产后2h出血量≥500ml例数。结果：三组比较,A组24h引产成功率、阴道分娩率高于B组与C组,差异有统计学意义（P〈0.05）。产程时间、剖宫产率低于B组与C组,差异有统计学意义（P〈0.05）。新生儿5min Apgar评分、新生儿体重及助产率三组比较无显著性差异,无统计学意义（P〉0.05）。结论：COOK双球囊引产促宫颈成熟度好,引产成功率高,分娩时间短,剖宫产率低,适宜在临床上广泛开展。

Objective.. Three induction of labor by way of comparison, and provide a theoretical basis for clinical rea- sonable selection of labor induction. Methods.. Cases were randomly divided into group A （COOK balloon induced labor group） ,group B （low small water bag for the induction group）,group C （low dose oxytocin group）, compare the in- duction of labor after 12-14h of cervical ripening degree and 24h the successful rate of induced labor, delivery time, incidence of uterine contraction is too strong, vaginal delivery rate, cesarean section rate of neonatal Apgar score of 5min and 2h post partum bleeding is more than or equal to the number of 500ml cases. Results.. Compared the three groups, group A 24h, the successful rate of induced labor, vaginal delivery rate was higher than that of B group and C group, the difference was statistically significant （P〈0. 05）. Duration of labor, cesarean section rate was lower than that of B group and C group, there were statistically significant （P〈0. 05）. In the neonatal Apgar score of 5min, weight of neonates and delivery rate between the three groups had no signilicant difference （P〉0. 05）, no statistical significance. Conclusion：COOK double balloon induced labor for cervical ripening and labor induction of good, high suc- cess rate, delivery time is short, the ceSarean section rate is low, suitable for widely developed in clinic.