COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产临床观察.docVIP

COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产临床观察 　　【摘要】目的：考察COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产的临床效果。方法：选取宫颈不成熟的临产妇90例，随机分为观察组和对照组，每组45例。对照组患者给予常规静脉滴注缩宫素引产，观察组患者采用COOK宫颈扩张球囊扩张后再行静脉滴注。对比两组宫颈成熟效果、临产开始时间、产程、引产成功率和妊娠结局。结果：观察组患者宫颈成熟有效率显著高于对照组（χ2=4.05，P0.05）。观察组患者临产开始时间、产程显著短于对照组（P0.01）。观察组患者引产成功率和妊娠结局显著优于对照组（P0.05）。结论：COOK宫颈扩张球囊联合缩宫素促进宫颈成熟更优、引产效果更佳，具有临床应用价值。 　　【关键词】引产；宫颈成熟；COOK宫颈扩张球囊 　　Clinical observation of cervical dilatation combined with oxytocin to promote cervical ripening and labor inductionCEN Qianli， WU Yanying， OU Xiaoyan， LU Genhua. No.1 Department of Gynecology， Maoming City Maternal and Children Health Care Hospital， Maoming 525000， Guangdong， China 　　【Abstract】Objectives： To investigate the clinical effect of COOK cervical dilatation combined with oxytocin to promote cervical ripening and labor induction. Methods： A total of 90 cervical immature parturient women were randomly divided into observation group and control group， 45 cases in each group. The control group received conventional intravenous oxytocin induced labor， and the patients in observation group received intravenous oxytocin after COOK cervical dilatation. The cervical ripening effects， labor start time， duration of labor， the induction success rate and pregnancy outcome were compared between the two groups. Results： The cervical maturity in observation group was significantly higher than that of control group （χ2=4.05， P0.05）. The labor start time and duration of labor in observation group was significantly shorter than those in control group （P0.01）. The induction success rate and pregnancy outcome of the observation group were significantly better than those of the control group （P0.05）. Conclusion： COOK cervical dilatation combined with oxytocin can better promote cervical ripening and labor， which makes it worth for clinical application. 　　【Key words】Induced labor； Cervical ripening； COOK cervical dilatation balloon 　　【中图分类号】R719.3【文献标志码】A 　　为降低剖宫产率，提高阴道分娩率成为产科目前面临的一大问题。妊娠晚期引产成功与多种因素有关，其中宫颈成熟度起决定性作用，所以，引产前促宫颈