COOK宫颈扩张球囊与缩宫素静脉滴注在足月妊娠引产中的优劣差异

Differences between COOK cervical dilatation saccule and oxytocin infusion in term pregnancy

目的分析COOK子宫颈扩张球囊及缩宫素对辅助足月妊娠引产的优劣差异。方法选取2017年3月~2018年3月我院行引产的68例足月妊娠产妇,按随机数字表法分为两组,各34例。缩宫素组采用缩宫素静脉滴注引产,球囊组采用COOK宫颈扩张球囊引产,统计对比两组产妇的引产效果。结果对比两组产妇宫颈成熟情况,球囊组产妇的宫颈成熟率高于缩宫素组(P<0.05);对比两组产妇引产和分娩情况,球囊组产妇的引产成功率高于缩宫素组,剖宫产率较低于缩宫素组,临产时间和产程短于缩宫素组(P<0.05);对比两组产妇不良反应,球囊组产妇的不良反应总发生率低于缩宫素组(P<0.05)。结论针对足月妊娠引产产妇应用COOK宫颈扩张球囊进行引产更加安全有效,可以提高产妇的宫颈成熟率和引产成功率,缩短临产时间和产程,降低剖宫产率,减少不良反应发生。

Objective To analyze the difference between COOK cervical dilatation balloon and oxytocin in assisting the induction of labor in term pregnancy. Methods 68 full-term pregnant women who were induced to undergo labor in our hospital from March 2017 to March 2018 were allocated two groups according to random number (n=34).In the oxytocin group, oxytocin was used to induce labor,and the saccule group was induced by COOK cervical dilatation saccule.The results of induction of labor in the two groups were statistically compared. Results Comparing the maternal cervical maturity of the two groups,the cervical ripening rate of the women in the saccule group was higher than that in the oxytocin group (P < 0.05).Compared with the induced and labor of the women in the two groups,the success rate of induction of labor in the saccule group was higher than that in the oxytocin group.The cesarean section rate was lower than that in the oxytocin group,and the labor time and labor duration were shorter than the oxytocin group (P < 0.05).Compared with the maternal adverse reactions,the total incidence of adverse reactions in the saccule group was low. In the oxytocin group (P < 0.05). Conclusion The use of COOK cervical dilatation saccule for induction of labor in term pregnancy is safer and more effective.It can improve the maternal cervical ripening rate and success rate of labor induction,shorten the time of labor and labor,reduce the rate of cesarean section and reduce the occurrence of adverse reactions.