催产素+COOK宫颈扩张球囊在足月妊娠引产中的临床应用效果

Clinical application of Oxytocin+COOK cervical dilatation balloon in induction of labor in full-term pregnancy

目的探讨催产素+COOK宫颈扩张球囊在足月妊娠引产中的临床应用效果。方法选取2019年1月1日~2020年6月30日于沈阳市妇幼保健院收治的70例接受引产的足月妊娠产妇作为研究对象,按照序贯抽样法分为对照组(33例)和观察组(37例)。对照组采用催产素常规引产,观察组采用催产素+COOK宫颈扩张球囊方案。比较两组的促宫颈成熟效果、产程时间、宫颈评分、引产指标及新生儿情况。结果观察组促宫颈成熟效果总有效率高于对照组,差异有统计学意义(P<0.05);观察组的第一产程、第二产程、第三产程均短于对照组,Bishop评分高于对照组,差异有统计学意义(P<0.05);观察组的诱发临产时间、胎儿娩出时间均短于对照组,产后24 h出血量少于对照组,差异有统计学意义(P<0.05);观察组的新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05);观察组的新生儿出生体重大于对照组,差异有统计学意义(P<0.05)。结论对足月妊娠产妇实施引产,建议采纳催产素+COOK宫颈扩张球囊方案,可有效提升引产效果并改善产妇预后。

Objective To explore clinical application of Oxytocin+COOK cervical dilatation balloon in induction of labor in full-term pregnancy.Methods A total of 70 full-term pregnant women who underwent induced labor from January 1,2019 to June 30,2020 in Shenyang Maternal and Child Health Hospital were selected as the research subjects.They were divided into control group(33 cases)and observation group(37 cases)according to sequential sampling method.The control group was induced by Oxytocin,while the observation group was treated by Oxytocin+COOK cervical dilatation balloon.The effect of promoting cervical maturation,labor time,cervical score,induced labor index and neonatal condition were compared between the two groups.Results The total effect rate of promoting cervical maturation in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).The first stage of labor,the second stage of labor and the third stage of labor in the observation group were shorter than those in the control group,and the Bishop score was higher than that in the control group,the differences were statistically significant(P<0.05).The induction time of labor and the time of fetal delivery in the observation group were shorter than those in the control group,and the amount of bleeding 24 h after delivery was less than that in the control group,the differences were statistically significant(P<0.05).The Apgar score of neonates in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The neonatal birth weight of the observation group was greater than that of the control group,and the difference was statistically significant(P<0.05).Conclusion It is suggested to adopt Oxytocin combined with COOK cervical dilatation balloon scheme for full-term pregnant women to implement induced labor,which can effectively improve the effect of induced labor and improve the prognosis of pregnant women.