CAJ | 학술논문

目的：观察COOK宫颈扩张球囊促宫颈成熟并引产的有效性和安全性。方法选择2013年1月至2014年6月在我院住院有引产指征的初产妇200例,随机分为COOK宫颈扩张球囊联合人工破膜及缩宫素的观察组和单用缩宫素的对照组,观察2组促宫颈成熟及引产效果、分娩情况以及对产妇、胎儿和新生儿的影响。结果观察组和对照组促宫颈成熟有效率分别为95%和65%,引产成功率分别为80%和60%,剖宫产率分别为12%和28%,两组比较差异有统计学意义(P<0．05)。观察组平均临产时间为(17．50±4．80)h与总产程时间为(7．10±1．60)h,明显低于对照组平均临产时间(31．55±14．30)h,总产程时间(13．20±0．51)h,两组比较差异有统计学意义(P<0．05)。两组发生产后出血、胎儿窘迫、新生儿窒息、产褥感染、宫颈裂伤等母儿不良影响比较差异无统计学意义( P>0．05)。结论 COOK宫颈扩张球囊联合人工破膜及缩宫素引产成功率高,降低了剖宫产率,是一种安全、有效的引产方法。
목적：관찰COOK궁경확장구낭촉궁경성숙병인산적유효성화안전성。방법선택2013년1월지2014년6월재아원주원유인산지정적초산부200례,수궤분위COOK궁경확장구낭연합인공파막급축궁소적관찰조화단용축궁소적대조조,관찰2조촉궁경성숙급인산효과、분면정황이급대산부、태인화신생인적영향。결과관찰조화대조조촉궁경성숙유효솔분별위95%화65%,인산성공솔분별위80%화60%,부궁산솔분별위12%화28%,량조비교차이유통계학의의(P<0．05)。관찰조평균임산시간위(17．50±4．80)h여총산정시간위(7．10±1．60)h,명현저우대조조평균임산시간(31．55±14．30)h,총산정시간(13．20±0．51)h,량조비교차이유통계학의의(P<0．05)。량조발생산후출혈、태인군박、신생인질식、산욕감염、궁경렬상등모인불량영향비교차이무통계학의의( P>0．05)。결론 COOK궁경확장구낭연합인공파막급축궁소인산성공솔고,강저료부궁산솔,시일충안전、유효적인산방법。
Objective Observing the effectiveness and safety of cook cervical expansion ballon in cervical ripening and labor induction. Methods Choosing 200 primate pregnancy with indications for labor induction in our hospital from January 2013 to June 2014,dividing randomly into observation group using cook cervical expansion ballon together with artificial rupture of mem-branes and oxytocin and control group using oxytocin alone,observing cervical ripening,labor induction effectiveness,delivery con-ditions and the effects on parturients,fetus and neonates. Results Cervical ripening effective rates of observation group and con-trol group are 95% and 65% respectively,the successful rates of induced labor are 80% and 60% respectively and caesarean sec-tion rates are 12% and 28% respectively. The difference of these two groups is statistically significant(P <0. 05). The average time of onset of delivery in observation group is(17. 50 ± 4. 80)h and the time of production process is(7. 10 ± 1. 60)h,which are apparently below the data of control group while the average time of onset of delivery in control group is(31. 55 ± 14. 30)h and the time production process is(13. 20 ± 0. 51)h,so the difference of these two groups is statistically significant(P<0. 05). The differ-ence of postpartum hemorrhage,asphyxia neonatorum,puerperal infection,cervical laceration and other harmful maternal and neo-natal effects of these two groups has no statistical significance. Conclusion Using cook cervical expansion ballon together with ar-tificial rupture of membranes and oxytocin can increase the rates of induced labor and lower the rates of caesarean section. So it is a safe and effective way of labor induction.