COOK宫颈扩张球囊与缩宫素促宫颈成熟和引产的效果差异

Difference of effect of COOK cervical dilatation balloon and oxytocin promoting cervical ripening and induction of labor

目的探究COOK宫颈扩张球囊和缩宫素促宫颈成熟和引产的效果差异。方法随机选取2015年1月~2017年7月于我院住院分娩的120例初产妇,对其临床资料进行回顾性分析,将采用缩宫素促宫颈成熟和引产的60例产妇作为对照组,将采用COOK宫颈扩张球囊促宫颈成熟和引产的60例产妇作为观察组,对两组效果进行观察对比。结果观察组的促宫颈成熟有效率为81.67%(49/60),明显高于对照组促宫颈成熟有效率,两组结果差异均有统计学意义(P<0.05);观察组的第一产程时间短明显少于对照组,阴道分娩率高于对照组,剖宫产率低于对照组,产后出血量明显少于对照组减少,两组结果差异均具有统计学意义(P<0.05);观察组的新生儿情况明显好于对照组,两组结果差异具有统计学意义(P<0.05)。结论将COOK宫颈扩张球囊应用于临床上产妇的促宫颈成熟和引产中,可以明显缩短产程,降低剖宫产率,适合临床推广应用。

Objective To investigate the effect of COOK cervical dilatation balloon and oxytocin on cervical ripening and induction of labor.Methods One hundred and twenty primiparas who were hospitalized in our hospital from January2015to July2017were randomly selected.The clinical data was retrospectively analyzed.60cases of cervix maturing and induced labor were selected as the control group.60pregnant women with COOK cervical dilatation balloon and cervical ripening and induced labor were selected as the observation group.The effects of the two groups were observed and compared.Results The effective rate of cervical ripening in the observation group was81.67%(49/60),which was significantly higher than that in the control group.The difference between the two groups was statistically significant(P<0.05);The first stage of labor in the observation group was shorter than that in the control group,the vaginal delivery rate was higher than that in the control group,the cesarean section rate was lower than that in the control group,and the amount of postpartum hemorrhage was significantly less than that in the control group.The difference between the two groups was statistically significant(P<0.05);The neonatal situation in the observation group was obviously better than that of the control group.The difference of the results between the two groups was statistically significant(P<0.05).Conclusion COOK cervical dilatation balloon can significantly shorten the labor stage and reduce the cesarean section rate,and is suitable for clinical application.