CAJ | 학술논문

目的：观察妊娠晚期不同促宫颈成熟方式的临床效果,提高引产成功率,降低剖宫产率。方法140例住院待产的初产孕妇,72例自愿选择应用库克医疗公司促宫颈成熟球囊(Cook球囊),作为球囊组；68例自愿选择单纯催产素静脉滴注,作为催产素组。观察两组促宫颈成熟前后的宫颈Bishop评分、剖宫产率及感染风险。结果球囊组与催产素组促宫颈成熟前后Bishop评分分别为(3.42±0.78)分、(6.75±0.97)分和(3.51±0.64)分、(4.73±1.23)分,前后比较,差异有统计学意义(P<0.05)；球囊组促宫颈成熟后宫颈Bishop评分明显高于催产素组,差异有统计学意义(P<0.05)；球囊组剖宫产率为26.39%,明显低于催产素组45.59%,差异具有统计学意义(P<0.05)；球囊组感染率为5.56%,催产素组1.47%,差异无统计学意义(P>0.05)。结论与催产素相比, Cook球囊促宫颈成熟效果较好,其剖宫产率明显较低；但是感染率较高,所以在操作Cook球囊时应严格无菌操作,以降低感染风险。
목적：관찰임신만기불동촉궁경성숙방식적림상효과,제고인산성공솔,강저부궁산솔。방법140례주원대산적초산잉부,72례자원선택응용고극의료공사촉궁경성숙구낭(Cook구낭),작위구낭조；68례자원선택단순최산소정맥적주,작위최산소조。관찰량조촉궁경성숙전후적궁경Bishop평분、부궁산솔급감염풍험。결과구낭조여최산소조촉궁경성숙전후Bishop평분분별위(3.42±0.78)분、(6.75±0.97)분화(3.51±0.64)분、(4.73±1.23)분,전후비교,차이유통계학의의(P<0.05)；구낭조촉궁경성숙후궁경Bishop평분명현고우최산소조,차이유통계학의의(P<0.05)；구낭조부궁산솔위26.39%,명현저우최산소조45.59%,차이구유통계학의의(P<0.05)；구낭조감염솔위5.56%,최산소조1.47%,차이무통계학의의(P>0.05)。결론여최산소상비, Cook구낭촉궁경성숙효과교호,기부궁산솔명현교저；단시감염솔교고,소이재조작Cook구낭시응엄격무균조작,이강저감염풍험。
ObjectiveTo observe the clinical effect of different promoting cervical ripening methods in late gestation, in order to improve odinopoeia success rate and reduce caesarean section rate.MethodsAmong 140 primipara, there were 72 of them receiving promoting cervical ripening balloon by Cook medical corporation (Cook balloon) as the balloon group, and the other 68 cases received oxytocin through intravenous drip as oxytocin group. Cervical Bishop scores, caesarean section rates, and infection risks were observed in the two groups before and after promoting cervical ripening.ResultsThe cervical Bishop scores before and after promoting cervical ripening in the balloon group and oxytocin group were respectively (3.42±0.78) points, (6.75±0.97) points and (3.51±0.64) points, (4.73±1.23) points. The difference had statistical significance (P<0.05). The balloon group had much higher cervical Bishop score than the oxytocin group after cervical ripening, and their difference had statistical significance (P<0.05). The caesarean section rate in the balloon group was 26.39%, which was obviously lower than 45.59% in the oxytocin group, and their difference had statistical significance (P<0.05). The balloon group had the infection rate as 5.56%, and that in the oxytocin group was 1.47%. Their difference had no statistical significance (P>0.05).ConclusionCompared with oxytocin, Cook balloon can provide better effect in promoting cervical ripening with lower caesarean section rate but higher infection rate. Therefore strictly sterile operation is necessary in Cook balloon operation for reducing infection risks.