COOK双球囊促宫颈成熟的临床研究.pdf

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1、中国计划生育和妇产科2014年第6卷第6期·55·COOK双球囊促宫颈成熟的临床研究黄娟，王思义，陈颖，陈红作者单位：610091四川成都，成都市妇女儿童中心医院产科作者简介：黄娟，毕业于泸州医学院，本科，主治医师，研究方向为产科通讯作者，E—mail：cncdch@gmail．COB【摘要】目的探讨COOK双球囊促宫颈成熟有效性及安全性。方法选择成都市妇女儿童中心医院2013年1～l0月有医学引产指征，宫颈Bishop评分≤5分的孕妇160例，同等条件下自愿选择COOK双球囊引产的80例为观察组，选择缩宫素引产的8

2、0例为对照组。回顾性分析两组引产方式促宫颈成熟效果及安全性。结果观察组放置球囊12h后宫颈评分、阴道分娩率高于对照组(P<0．05)；剖宫产率低于对照组(P<0．05)；两组产后出血量、新生儿窒息发生率、新生儿评分比较，差异均无统计学意义(P>0．05)。结论COOK双球囊促宫颈成熟用于引产安全有效，值得临床推广。【关键词】COOK双球囊；缩宫素；促宫颈成熟；剖宫产率【中图分类号】R7l9．3【文献标志码】A【文章编号】1674—4020(2014)06—0055一o3doi：10．3969／j．issn．1674—

3、4020．2014．06．17Clinicalstudy0fCooKdoubleballoondilationforcervicalripeningHUANGJuan，WANGSi—yi，CHENYing，CHEN舶DepartmentofObstetrics，ChengduWomen’sandChildren’sCentralHospital，ChengduSichuan610091，PR．ChinaCorrespondingauthor，E—mail：cncdch@gmail．eom【Abstract】Objec

4、tiveToinvestigateeffectandsafetyofCOOKdoubleballoondilationforcervicalripening．MethodsRetrospectiveselecting160pregnantwomeninChengduWomen’SandChildren’SCentralHospitalfromJanuary2013toOctober2013whohadmedicalindicationsofinducinglaborandBishop≤5．80caseswhovolu

5、nteeredtousetheCOOKdoubleballoondilationweredividedintotheobservationgroup，thentheother80caseswhovolunteeredtousetheoxytocinweredividedintothecontrolgroup．Effectandsafetyofthetwomethodsusingincervicalripeningwerecompared．ResultsTheBishopofcasesinthestudygroupus

6、ingtheCOOKdoubleballoondilationfor12hoursweresignificantlyhigherthanthatinthecontrolgroup(P<0．05)；Thesuccessrateofvaginaldeliveryinthestudygroupwassignificantlyhigherthanthatinthecontrolgroup(P<0．05)；Thecesareansectionrateinthestudygroupwassignificantlylowertha

7、nthatinthecontrolgroup(P<0．05)；Nosignificantlydifferenceswerefoundinthehemorrhage．newbornweightandApgarscorebetweenthetwogroups(P>0．05)．ConclusionCOOKdoubleballoondilationforcervicalripeningusinginthelaborinductionissafeandeffective．【KeyWords】COOKdoubleballoond

8、ilation；oxytocin；cervicalripening；cesareansectionrate晚期妊娠因母体或胎儿原因需及早终止妊娠征。临床工作中，孕妇因宫颈评分不理想(宫颈且无明显头盆不称和胎位异常者均为引产的指Bishop评分≤5分，采用传统缩宫素引产，往往导致CHINESEJOURNALOFFAMlLYPLANNING&GYN