中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
32期
11-12,15
,共3页
COOK宫颈扩张球囊%引产%催产素
COOK宮頸擴張毬囊%引產%催產素
COOK궁경확장구낭%인산%최산소
COOK cervical dilatation balloon%Labor induction%Oxytocin
目的：比较分析COOK宫颈扩张球囊联合催产素引产及单纯使用催产素引产的临床效果及安全性。方法将2013年2月＿2014年1月在该院引产分娩的单胎足月的初产妇共123例,分为观察组﹙球囊联合催产素﹚及对照组﹙单用催产素﹚,比较两组剖宫产率﹑第一产程时间﹑产后出血﹑胎儿窘迫﹑羊水污染﹑产后盆腔感染等情况。结果两组比较,观察组剖宫产率较低为21.05%,对照组为43.94%,P<0.05,观察组第一产程时间较短,时间为﹙4.23±2.28﹚h,小于对照组﹙5.38±1.97﹚h,P<0.05,差异有统计学意义；产后出血率观察组﹙2.2%﹚较对照组﹙16.2%﹚稍低,羊水污染率观察组﹙31.1%﹚较对照组﹙10.8%﹚稍多,P<0.05,差异有统计学意义,而胎儿窘迫及产后盆腔感染两者差异无统计学意义。结论 COOK宫颈扩张球囊联合催产素引产具有较好的临床效果及安全性,值得在临床推广应用。
目的：比較分析COOK宮頸擴張毬囊聯閤催產素引產及單純使用催產素引產的臨床效果及安全性。方法將2013年2月＿2014年1月在該院引產分娩的單胎足月的初產婦共123例,分為觀察組﹙毬囊聯閤催產素﹚及對照組﹙單用催產素﹚,比較兩組剖宮產率﹑第一產程時間﹑產後齣血﹑胎兒窘迫﹑羊水汙染﹑產後盆腔感染等情況。結果兩組比較,觀察組剖宮產率較低為21.05%,對照組為43.94%,P<0.05,觀察組第一產程時間較短,時間為﹙4.23±2.28﹚h,小于對照組﹙5.38±1.97﹚h,P<0.05,差異有統計學意義；產後齣血率觀察組﹙2.2%﹚較對照組﹙16.2%﹚稍低,羊水汙染率觀察組﹙31.1%﹚較對照組﹙10.8%﹚稍多,P<0.05,差異有統計學意義,而胎兒窘迫及產後盆腔感染兩者差異無統計學意義。結論 COOK宮頸擴張毬囊聯閤催產素引產具有較好的臨床效果及安全性,值得在臨床推廣應用。
목적：비교분석COOK궁경확장구낭연합최산소인산급단순사용최산소인산적림상효과급안전성。방법장2013년2월＿2014년1월재해원인산분면적단태족월적초산부공123례,분위관찰조﹙구낭연합최산소﹚급대조조﹙단용최산소﹚,비교량조부궁산솔﹑제일산정시간﹑산후출혈﹑태인군박﹑양수오염﹑산후분강감염등정황。결과량조비교,관찰조부궁산솔교저위21.05%,대조조위43.94%,P<0.05,관찰조제일산정시간교단,시간위﹙4.23±2.28﹚h,소우대조조﹙5.38±1.97﹚h,P<0.05,차이유통계학의의；산후출혈솔관찰조﹙2.2%﹚교대조조﹙16.2%﹚초저,양수오염솔관찰조﹙31.1%﹚교대조조﹙10.8%﹚초다,P<0.05,차이유통계학의의,이태인군박급산후분강감염량자차이무통계학의의。결론 COOK궁경확장구낭연합최산소인산구유교호적림상효과급안전성,치득재림상추엄응용。
Objective To compare and analyze the clinical efficacy and safety between COOK cervical dilation balloon combined with oxytocin and oxytocin alone for labor induction. Methods A total of 123 primiparas with full-term single birth underwent labor induction and delivery in our hospital from February 2013 to January 2014 were divided into the observation group (COOK cervical dilation balloon combined with oxytocin) and the control group (single oxytocin). The rate of cesarean section, duration of the first stage of labor, postpartum hemorrhage, fetal distress, amniotic fluid contamination and postpartum pelvic infection were compared between the two groups. Results The rate of cesarean section of the observation group was 21.05%, lower than 43.94% of the con_trol group, P<0.05; the duration of the first stage of labor of the observation group was 4.23±2.28h, shorter than 5.38±1.97h of the control group, the difference was statistically significant, P<0.05;the rate of postpartum hemorrhage of the observation group (2.2%) was lower than that of the control group(16.2%), the rate of amniotic fluid contamination of the observation group(31.1%) was more than that of the control group(10.8%), the differences were statistically significant, P<0.05, while the differences in fetal distress and postpartum pelvic infection between the two groups were not significant. Conclusion COOK cervical dilation balloon combined with oxytocin for labor induction has a good clinical outcome and safety, which is worthy of clinical application and promotion.
