摘要
目的探讨Cook子宫颈扩张球囊用于足月单胎初产妇促宫颈成熟和引产的应用指征、安全性及有效性。方法选取2015年5月至2016年5月在我院规律产检并有引产指征的初孕妇共316例,平均分成两组。其中实验组使用Cook子宫颈扩张球囊促宫颈成熟.对照组直接静脉滴注小剂量缩宫素催产。对比分析放置Cook球囊前后宫颈Bishop评分的变化、进入产程的时间、产程中胎儿宫内窘迫的发生率、最终分娩方式及新生儿妊娠结局。结果①实验组132例经阴道分娩,顺产率为83.54%;对照组92例经阴道分娩,顺产率为58.23%,实验组阴道分娩率明显高于对照组(P〈0.05);②实验组孕妇进入产程所需要的平均时间为8.5 h,显著短于对照组的10.7 h(P〈0.05);③放置球囊后,实验组有132例孕妇宫颈Bishop评分改善≥3分,23例改善1~2分,3例改善〈1分;④两组的新生儿窒息率、新生儿出生Apgar评分比较差异均无统计学意义(P〉0.05)。结论Cook子宫颈扩张球囊可以明显改善孕妇宫颈成熟度,缩短产程,增加阴道分娩率.其用于促宫颈成熟和妊娠晚期引产是安全且有效的。
Objective To explore the indication, safety and effectiveness of application of Cook cervical balloon for cervical ripeningon primipara with singleton term pregnancy. Methods A total of 316 cases of primipara with indication of labor receiving disciplinaryprenatal examination admitted to our hospital from May 2015 to May 2016 were selected and divided into two groups equally. Theexperimental group was placed the Cook cervical balloon for cervical ripening, while the control group received directive intravenous drip ofoxytocin to hasten parturition. The cervical Bishop score before and after placing the Cook cervical balloon, time of labor, incidence of fetaldistress in the stage of labor, final mode of delivery and the neonate pregnancy outcome were compared and analyzed. Results (1)132 casesin experimental group and 92 cases of control group delivered vaginally, and the rate of vaginal delivery of experimental group (83.54%) wassignificantly higher than that of control group (58.23%), P 〈0.05. (2)The average time of labor in experimental group was 8.5 hours,significantly shorter than 10.7 hours in control group (P〈0.05). (3)After placing the balloon, the cervical Bishop score of 132 cases ofprimipara in experimental group improved more than 3 points, 23 cases between 1 - 2 points and 3 cases less than 1 point. (4)No statisticaldifference was found in the rate of neonatal asphyxia and Apgar score of newborns between two groups (P 〉0.05). Conclusions Cookcervical balloon can significantly improve the cervical maturity, shorten the total labor time and increase the rate of vaginal delivery, which issafe and effective for labor induction in late pregnancy and to improve the cervical maturity.
出处
《临床医学工程》
2016年第9期1211-1212,共2页
Clinical Medicine & Engineering