Foley尿管水囊与COOK球囊在足月妊娠引产中的应用效果比较

Comparison of effects of Foley catheter and COOK water sac induction of labor in full-term pregnant women

目的:比较Foley尿管水囊与COOK球囊在足月妊娠引产中的应用效果。方法:回顾性分析2019年3月至2021年6月该院收治的96例实施引产的足月妊娠产妇的临床资料,根据引产方案不同分为对照组(48例,采用Foley尿管水囊引产术)和观察组(48例,采用COOK球囊引产术)。比较两组引产前后宫颈Bishop评分、产后出血量、总产程时间、分娩结局、并发症发生率、围生儿结局及出生后5 min Apgar评分。结果:引产后,观察组宫颈Bishop评分高于对照组,差异有统计学意义(P<0.05);两组产后出血量和总产程时间比较,差异均无统计学意义(P>0.05);观察组自然分娩率为91.67%(44/48),高于对照组的64.58%(31/48),阴道助产率为6.25%(3/48),低于对照组的25.00%(12/48),差异均有统计学意义(P<0.05);两组剖宫产率比较,差异无统计学意义(P>0.05);两组产妇并发症发生率、胎儿宫内窘迫发生率、新生儿窒息率和出生后5 min Apgar评分比较,差异均无统计学意义(P>0.05)。结论:COOK球囊对足月妊娠产妇的促宫颈成熟效果优于Foley尿管水囊,且能提高自然分娩率,降低阴道助产率。

Objective:To compare application effects of Foley catheter and COOK water sac induction of labor in full-term pregnant women.Methods:The clinical data of 96 full-term pregnant women who underwent induction of labor in our hospital from March 2019 to June 2021 were retrospectively analyzed.According to different induction of labor schemes,they were divided into control group(48 cases,using Foley ureteral)and observation group(48 cases,using COOK water sac).The cervical Bishop score,the postpartum hemorrhage,the total labor time,the delivery outcome,the incidence of complications related to induction of labor,the perinatal outcomes,and the Apgar score 5 minutes after birth were compared between the two groups before and after induction of labor.Results:After induction of labor,the cervical Bishop score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the postpartum hemorrhage volume and the total labor time between the two groups(P>0.05).The natural delivery rate of the observation group was 91.67%(44/48),which was higher than the control group of 64.58%(31/48);the vaginal delivery rate was 6.25%(3/48),which was lower than the control group of 25.00%(12/48);and the differences were statistically significant(P<0.05).There was no significant difference in the cesarean section rate between the two groups(P>0.05).Further,there were no significant differences in the incidence of maternal complications,fetal distress,neonatal asphyxia and the Apgar score 5 min after birth between the two groups(P>0.05).Conclusions:COOK water sac induction of labor is more effective in promoting the cervical ripening than Foley catheter,and can improve the natural childbirth rate and reduce the vaginal delivery rate.