Cook宫颈扩张球囊用于足月妊娠促宫颈成熟及引产的临床应用
|
摘要
目的探究Cook宫颈扩张球囊用于足月妊娠促宫颈成熟及引产的临床应用价值。方法选取我院收治的具备引产特征的153例孕妇为研究对象,按照患者的意愿随机分成两组,实验组79例、对照组74例。实验组选用Cook宫颈扩张球囊,对照组选用普贝生,对比两组的促宫颈成熟有效率和引产成功率,记录各个产程时间及不良反应发生情况。结果治疗后,两组患者Bishop评分均明显高于治疗前(P<0.05)且实验组的Bishop评分提高程明显大于对照组(P<0.05);实验组的促子宫成熟总有效率以及引产总有效率明显高于对照组(P<0.05);实验组的各产程时间明显小于对照组(P<0.05);实验组临产时间及剖宫产率明显小于对照组(P<0.05);实施治疗后,实验组的并发症发生率明显低于对照组(P<0.05)。两组新生儿胎儿窘迫、新生儿窒息、转入NICU比率无明显变化(P>0.05)。结论 Cook宫颈扩张球囊能够促进宫颈成熟,缩短产程,降低并发症发生率,适合临床应用。
Objective To explore the clinical application value of Cook cervical dilatation balloon for cervical ripening and induction of labor in term pregnancy. Methods 153 cases of pregnant women who were treatmented in our hospital with the characteristics of induction of labor were selected as the research subject and randomly divided into the experiment group( n = 79) and the control group( n = 74). The experimental group used Cook balloon dilatation of the cervix,the control group used propess. The rate of cervical ripening and the success rate of labor induction were compared between the two groups. Results After the treatment,The Bishop scores of the two groups were significantly higher than those before treatment( P < 0. 05),and the improvement of Bishop score in the experimental group was significantly greater than that in the control group( P < 0. 05); The total effective rate of induced uterine maturation and the total effective rate of induced labor in the experimental group were significantly higher than those in the control group( P < 0. 05); The labor time of the experimental group was significantly lower than that of control group( P < 0. 05); The experimental group of labor and cesarean section rate was significantly lower than that of control group( P < 0. 05); After treatment,The incidence of complications in the experimental group was significantly lower than that of the control group( P < 0. 05); The two groups of neonates with fetal distress,neonatal asphyxia,and transferred to the NICU ratio had no significant change( P > 0. 05). Conclusion Cook cervical dilation saccule can promote cervical ripening,shorten labor and reduce incidence of complications,which is suitable for clinical application.
Objective To explore the clinical application value of Cook cervical dilatation balloon for cervical ripening and induction of labor in term pregnancy. Methods 153 cases of pregnant women who were treatmented in our hospital with the characteristics of induction of labor were selected as the research subject and randomly divided into the experiment group( n = 79) and the control group( n = 74). The experimental group used Cook balloon dilatation of the cervix,the control group used propess. The rate of cervical ripening and the success rate of labor induction were compared between the two groups. Results After the treatment,The Bishop scores of the two groups were significantly higher than those before treatment( P < 0. 05),and the improvement of Bishop score in the experimental group was significantly greater than that in the control group( P < 0. 05); The total effective rate of induced uterine maturation and the total effective rate of induced labor in the experimental group were significantly higher than those in the control group( P < 0. 05); The labor time of the experimental group was significantly lower than that of control group( P < 0. 05); The experimental group of labor and cesarean section rate was significantly lower than that of control group( P < 0. 05); After treatment,The incidence of complications in the experimental group was significantly lower than that of the control group( P < 0. 05); The two groups of neonates with fetal distress,neonatal asphyxia,and transferred to the NICU ratio had no significant change( P > 0. 05). Conclusion Cook cervical dilation saccule can promote cervical ripening,shorten labor and reduce incidence of complications,which is suitable for clinical application.
引文
[1]牟田,王雁,刘国莉,等.剖宫产术后经阴道分娩的7种预测模型在中国的临床应用[J].北京大学学报医学版,2016,48(5):795-800.
[2]吴宇碧,朱雪红,林忠,等.COOK宫颈球囊扩张器促宫颈成熟对高危妊娠母儿结局的影响[J].中国妇产科临床杂志,2016(4):357-359.
[3]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[4]杨雯,曾友玲,宋晓婕.欣普贝生与COOK球囊用于足月妊娠初产妇引产对比观察[J].山东医药,2015(19):56-58.
[5]AL-SHAIKH G K,WAHABI H A,FAYED A A,et al.Factors associated with successful induction of labor.[J].Saudi Med J,2012,33(3):298-303.
[6]高霞,张毅,李咏梅.COOK双球囊联合催产素用于足月妊娠引产的临床疗效观察[J].现代妇产科进展,2014,23(2):150-151.
[7]范翠芳,张正娥,明蕾,等.COOK双球囊与催产素促宫颈成熟并引产的对照研究[J].重庆医学,2012,41(36):3820-3822.
[8]王线.Cook球对孕晚期宫颈成熟的临床观察[J].中国妇幼保健,2015,30(20):3515-3517.
[9]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[10]王晓宇,李斌,范颖.双球囊扩张、欣普贝生及催产素促宫颈成熟的疗效及安全性比较[J].山东医药,2014(16):72-74.
[11]柯玮琳,赵卫华,王欣昱.孕40~+周欣普贝生与COOK球囊促宫颈成熟的临床观察[J].现代妇产科进展,2014(10):815-816.
[12]黎文英,梁敏洪,谭玲玲,等.COOK宫颈球囊联合中药催生饮促宫颈成熟及引产的效果观察[J].临床医学工程,2017,24(6):821-822.
[13]毕健有,梁志冬.COOK双球囊应用于晚期妊娠促宫颈成熟对产妇宫颈Bishop评分及相关安全性指标的影响[J].临床医学工程,2017,24(9):1259-1260.
[14]沈梅,孙波,赵卫华,等.Cook子宫颈扩张球囊与欣普贝生用于足月妊娠引产的临床研究[J].中国妇幼保健,2015,30(4):624-627.
[15]崔艳双,吴星光,胡璇.宫颈扩张球囊用于足月妊娠促宫颈成熟和引产效果观察[J].浙江临床医学,2016,18(8):1496-1497.
[2]吴宇碧,朱雪红,林忠,等.COOK宫颈球囊扩张器促宫颈成熟对高危妊娠母儿结局的影响[J].中国妇产科临床杂志,2016(4):357-359.
[3]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[4]杨雯,曾友玲,宋晓婕.欣普贝生与COOK球囊用于足月妊娠初产妇引产对比观察[J].山东医药,2015(19):56-58.
[5]AL-SHAIKH G K,WAHABI H A,FAYED A A,et al.Factors associated with successful induction of labor.[J].Saudi Med J,2012,33(3):298-303.
[6]高霞,张毅,李咏梅.COOK双球囊联合催产素用于足月妊娠引产的临床疗效观察[J].现代妇产科进展,2014,23(2):150-151.
[7]范翠芳,张正娥,明蕾,等.COOK双球囊与催产素促宫颈成熟并引产的对照研究[J].重庆医学,2012,41(36):3820-3822.
[8]王线.Cook球对孕晚期宫颈成熟的临床观察[J].中国妇幼保健,2015,30(20):3515-3517.
[9]韩俊,覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志,2016,16(7):597-600.
[10]王晓宇,李斌,范颖.双球囊扩张、欣普贝生及催产素促宫颈成熟的疗效及安全性比较[J].山东医药,2014(16):72-74.
[11]柯玮琳,赵卫华,王欣昱.孕40~+周欣普贝生与COOK球囊促宫颈成熟的临床观察[J].现代妇产科进展,2014(10):815-816.
[12]黎文英,梁敏洪,谭玲玲,等.COOK宫颈球囊联合中药催生饮促宫颈成熟及引产的效果观察[J].临床医学工程,2017,24(6):821-822.
[13]毕健有,梁志冬.COOK双球囊应用于晚期妊娠促宫颈成熟对产妇宫颈Bishop评分及相关安全性指标的影响[J].临床医学工程,2017,24(9):1259-1260.
[14]沈梅,孙波,赵卫华,等.Cook子宫颈扩张球囊与欣普贝生用于足月妊娠引产的临床研究[J].中国妇幼保健,2015,30(4):624-627.
[15]崔艳双,吴星光,胡璇.宫颈扩张球囊用于足月妊娠促宫颈成熟和引产效果观察[J].浙江临床医学,2016,18(8):1496-1497.