Cook宫颈扩张球囊在妊娠晚期引产中的临床应用

Clinical application of Cook cervical dilatation balloon in induction of labor in late pregnancy

目的:探讨Cook宫颈扩张球囊在妊娠晚期引产中的应用效果。方法:选取我院2015年2月至2016年2月收治的190例妊娠晚期有引产指征的产妇为研究对象,其中100例采用Cook宫颈扩张球囊促进宫颈成熟(观察组),另外90例采用缩宫素促进宫颈成熟(对照组),比较两组产妇的宫颈成熟效果、引产效果以及不良反应。结果:观察组宫颈成熟总有效率为98%,高于对照组的37.78%;观察组引产成功率为97%,高于对照组的42.22%;产褥感染、胎儿窘迫、产后24h出血量等不良反应均明显低于对照组,组间差异均具有统计学意义(P<0.05)。结论:采用Cook宫颈扩张球囊能有效促进妊娠晚期引产患者的宫颈成熟,提高阴道分娩和引产成功率,减少产后出血,效果优于缩宫素,可进行临床推广。

Objectives： To investigate the clinical effect of Cook cervical dilatation balloon in induction of labor in late pregnancy. Methods： 190 cases of late pregnancy with abortion indication in our hospital from February 2015 to February 2016 were selected for the study,of which 100 were treated with Cook cervical dilatation balloon（ observation group）. The other 90 were treated with oxytocin to promote cervical ripening（ control group）. Cervical ripening effect,labor effect and adverse reactions between the two groups were compared. Results： The cervical ripening total effective rate of observation group was 98%,which was higher than that of control group（ 37. 78%）.Successful induction rate of observation group was 97%,which was higher than that of control group（ 42. 22%）.The rates of puerperal infection,fetal distress,24 h postpartum hemorrhage and other adverse reactions were significantly lower than these of control group,and the differences were statistically significant（ P 0. 05）. Conclusion：Cook cervical dilatation balloon can effectively promote abortion in late pregnancy in patients with cervical ripening,induction of labor and improving the success rate of vaginal delivery,reduce postpartum hemorrhage,which is better than oxytocin.