COOK宫颈扩张球囊联合人工破膜在孕足月计划分娩中的应用效果

Application effect of COOK cervical dilatation balloon combined with artificial rupture of membranes in full-term programed delivery

目的探讨COOK宫颈扩张球囊联合人工破膜在孕足月计划分娩中的应用效果。方法选择2017年1月至2019年12月安徽省妇幼保健院需计划分娩的孕足月孕妇732名进行研究,依据随机数字表法将其分为COOK宫颈扩张球囊联合人工破膜组(A组)、COOK宫颈扩张球囊组(B组)。依据纳入及排除标准最终A组347例、B组357例。比较两组引产的有效率、临产率及分娩结局。结果两组COOK宫颈扩张球囊总有效率及临产率比较,差异无统计学意义(P>0.05)。A组自然分娩率和24 h分娩率高于B组(P<0.05)。A组自然分娩孕妇临产时间、第一产程及总产程时间短于B组(P<0.05)。A组羊水污染发生率低于B组(P<0.05);而两组胎儿窘迫、羊水过少、绒毛膜羊膜炎、新生儿窒息发生率及产后出血比较,差异无统计学意义(P>0.05)。结论COOK宫颈扩张球囊联合人工破膜用于孕足月计划分娩可缩短临产时间及总产程时间,提高24 h分娩率及自然分娩率,优化计划分娩流程。

Objective To explore the application effect of COOK cervical dilatation balloon combined with artificial rupture of membranes in full-term programed delivery.Methods From January 2017 to December 2019,732 full-term pregnant women in Anhui Maternal and Child Health Hospital who needed to programed delivery were selected for this study.According to the random number table method,they were divided into COOK cervical dilation balloon combined with artificial rupture group(group A)and COOK cervical dilation balloon group(group B).According to inclusion and exclusion criteria,there were 347 cases in group A and 357 cases in group B.The effective rate of induced labor,labor rate and delivery outcome of two groups were compared.Results There were no significant differences in the total effective rate and labor rate between two groups(P>0.05).The natural delivery rate and 24 h delivery rate of group A were higher than those of group B(P<0.05).The labor time,the first stage of labor and the total stage of labor of pregnant with natural delivery in group A were shorter than those of group B(P<0.05).The incidence of amniotic fluid pollution was lower than that of group B(P<0.05);while there were no significant differences in the incidence of fetal distress,oligohydramnios,chorioamnionitis,neonatal asphyxia,and postpartum hemorrhage between two groups(P>0.05).Conclusion COOK cervical dilatation balloon combined with artificial rupture of membranes can shorten the labor time and total labor time,improve 24 h delivery rate and natural delivery rate,and optimize the programed delivery process.