中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
10期
14-15,18
,共3页
COOK宫颈扩张球囊%缩宫素%宫颈成熟%引产
COOK宮頸擴張毬囊%縮宮素%宮頸成熟%引產
COOK궁경확장구낭%축궁소%궁경성숙%인산
COOK Balloon dilatation of Cervix%Oxytocin%Cervical ripening%Labor induction
目的：探讨COOK 宫颈扩张球囊在足月妊娠引产过程中促进宫颈成熟的有效性及安全性。方法选择2014年3～11月在该院产科住院待产，有引产指征的初产妇120例，将入选孕妇随机分为3组，实验组为COOK 宫颈扩张球囊促宫颈成熟组，对照组1为复方氯化钠500 mL+缩宫素1 U促宫颈成熟组，对照组2为复方氯化钠500 mL+缩宫素2.5 U促宫颈成熟组。比较3组产妇的宫颈成熟情况、分娩方式及胎儿窘迫发生率。结果实验组与对照组1、对照组2在促宫颈成熟，提高阴道分娩率、降低剖宫产率及减少胎儿窘迫发生率方面差异有统计学意义(均P<0.05)，而对照组1、对照组2在以上各方面差异无统计学意义(P>0.05)。结论 COOK 宫颈扩张球囊能有效促宫颈成熟，有效提高阴道分娩率，降低剖宫产率，是一种安全、有效的引产方式，值得临床推广。
目的：探討COOK 宮頸擴張毬囊在足月妊娠引產過程中促進宮頸成熟的有效性及安全性。方法選擇2014年3～11月在該院產科住院待產，有引產指徵的初產婦120例，將入選孕婦隨機分為3組，實驗組為COOK 宮頸擴張毬囊促宮頸成熟組，對照組1為複方氯化鈉500 mL+縮宮素1 U促宮頸成熟組，對照組2為複方氯化鈉500 mL+縮宮素2.5 U促宮頸成熟組。比較3組產婦的宮頸成熟情況、分娩方式及胎兒窘迫髮生率。結果實驗組與對照組1、對照組2在促宮頸成熟，提高陰道分娩率、降低剖宮產率及減少胎兒窘迫髮生率方麵差異有統計學意義(均P<0.05)，而對照組1、對照組2在以上各方麵差異無統計學意義(P>0.05)。結論 COOK 宮頸擴張毬囊能有效促宮頸成熟，有效提高陰道分娩率，降低剖宮產率，是一種安全、有效的引產方式，值得臨床推廣。
목적：탐토COOK 궁경확장구낭재족월임신인산과정중촉진궁경성숙적유효성급안전성。방법선택2014년3～11월재해원산과주원대산，유인산지정적초산부120례，장입선잉부수궤분위3조，실험조위COOK 궁경확장구낭촉궁경성숙조，대조조1위복방록화납500 mL+축궁소1 U촉궁경성숙조，대조조2위복방록화납500 mL+축궁소2.5 U촉궁경성숙조。비교3조산부적궁경성숙정황、분면방식급태인군박발생솔。결과실험조여대조조1、대조조2재촉궁경성숙，제고음도분면솔、강저부궁산솔급감소태인군박발생솔방면차이유통계학의의(균P<0.05)，이대조조1、대조조2재이상각방면차이무통계학의의(P>0.05)。결론 COOK 궁경확장구낭능유효촉궁경성숙，유효제고음도분면솔，강저부궁산솔，시일충안전、유효적인산방식，치득림상추엄。
Objective To investigate the efficacy and safety of promoting cervical mature COOK cervical dilation balloon in the process of labor induction of full-term pregnancy.Methods Patient labor in our hospital in 2014 March-November of selection, a syndrome of 120 cases of primipara who labor refers to pregnant women, were selected and randomly divided into 3 groups, the experimental group is COOK Balloon dilatation of Cervix cervical ripening group, control group 1 for the compound sodium chloride 500mL+oxytocin 1 U cervical ripening group, control group 2 compound sodium chloride 500 mL+oxytocin 2.5 U cervical ripening group. Three groups of maternal cervical ripening, the mode of delivery and the incidence of fetal distress.Results The experimental group and the control group 1, control group 2 in cervical ripening, increase the rate of vaginal delivery, reduce the rate of cesarean section and reduce the incidence of fetal distress were statistically significant (P<0.05), while the control group 1, control group no statistical significance of 2 in these areas (P>0.05). Conclusion:COOK Balloon dilatation of Cervix can be effective in promoting cervical ripening, effectively improve the vaginal delivery rate, reduce the rate of cesarean section, is a safe, effective way of induction of labor, is worth the clinical promotion.
