Cook球囊联合缩宫素用于足月引产的效果分析

Analysis on the effect of Cook balloon combined with oxytocin on full-term induced labor

目的分析Cook球囊联合缩宫素用于足月引产的效果。方法选取2020年6—12月我院80例足月妊娠孕妇,以引产方案差异性分为对照组和研究组,每组各40例。对照组采用缩宫素治疗,研究组采用Cook球囊联合缩宫素治疗。比较两组宫颈成熟度、用药后临产发动时间及总产程、产后出血量、不良反应发生率、剖宫产率和新生儿Apgar评分。结果研究组促宫颈成熟总有效率为97.50%,较对照组的85.00%更高(P<0.05);研究组用药后临产发动时间、总产程均较对照组更短,且产后出血量较对照组更少(P<0.05);研究组胃肠道不适、宫缩过强以及胎心异常等不良反应总发生率为2.50%,较对照组的15.00%更低(P<0.05);研究组剖宫产率低于对照组(P<0.05),两组新生儿Apgar评分比较,差异无统计学意义(P>0.05),但研究组略高。结论在足月引产产妇中采取Cook球囊联合缩宫素方案,与单纯使用缩宫素比较,整体效果更佳,主要表现在促宫颈成熟总有效率高,用药后临产发动时间、总产程时间短,产后出血量少,不良反应发生率低,剖宫产率低。

Objective To analyze the effect of Cook balloon combined with oxytocin on full-term induced labor.Methods Eighty full-term pregnant women from June to December 2020 were selected and divided into the control group(oxytocin,n=40)and the study group(Cook balloon combined with oxytocin,n=40),according to the difference of induction protocol.Cervical maturity,onset time of labor after treatment,total labor and postpartum hemorrhage,the incidence rate of adverse reactions,cesarean section rate,and neonatal Apgar score were compared.Results The total effective rate of cervical ripening in the study group was 97.50%,which was higher than that of 85.00%in the control group(P<0.05).The onset time of labor and total labor course after treatment in the study group were shorter than those in the control group,and the postpartum hemorrhage was less than that in the control group(P<0.05).The incidence rate of gastrointestinal discomfort,excessive uterine contraction,and abnormal fetal heart rate in the study group was 2.50%,which was lower than that of 15.00%in the control group(P<0.05).The cesarean section rate in the study group was lower than that in the control group(P<0.05).There was no difference in Apgar score between the two groups(P>0.05),but the Apgar score in the study group was slightly higher.Conclusion Cook balloon combined with oxytocin regimen has a better overall effect than oxytocin alone in full-term induced labor,mainly manifested in the high total effective rate of cervical ripening,short onset time of labor and total labor time after medication,less postpartum hemorrhage,low incidence of adverse reactions and low cesarean section rate.