CAJ | 학술논문

2013年9月至2015年2月对40例超预产期、单胎头位孕妇在硬膜外镇痛下使用Cook球囊引产(观察组),与40例未实施硬膜外镇痛Cook宫颈扩张球囊引产孕妇(对照组)比较.观察组第一产程潜伏期明显短于对照组[(198.7±65.7)与(242.9 ±78.9) min,P＜0.05],剖宫产率和会阴裂伤率降低(分别为8％与45％,对照组分别为15％和5％),且分娩较为舒适,不影响引产成功率(均为98％);外周血白细胞计数引产前后观察组分别为(8.82±2.74)×109/L和(9.10±3.06)×109/L,CRP水平分别为(4.73±0.87)和(4.82 ±0.90)mg/L.说明硬膜外镇痛下Cook宫颈扩张球囊在足月引产中能明显缩短第一产程,减轻产妇痛苦,不增加感染机会和并发症,安全、有效.
2013년9월지2015년2월대40례초예산기、단태두위잉부재경막외진통하사용Cook구낭인산(관찰조),여40례미실시경막외진통Cook궁경확장구낭인산잉부(대조조)비교.관찰조제일산정잠복기명현단우대조조[(198.7±65.7)여(242.9 ±78.9) min,P＜0.05],부궁산솔화회음렬상솔강저(분별위8％여45％,대조조분별위15％화5％),차분면교위서괄,불영향인산성공솔(균위98％);외주혈백세포계수인산전후관찰조분별위(8.82±2.74)×109/L화(9.10±3.06)×109/L,CRP수평분별위(4.73±0.87)화(4.82 ±0.90)mg/L.설명경막외진통하Cook궁경확장구낭재족월인산중능명현축단제일산정,감경산부통고,불증가감염궤회화병발증,안전、유효.
To explore the feasibility and effects of Cook balloon cervical dilator on full-term nulliparous parturients under epidural analgesia.The observation group (n =40) received Cook balloon cervical dilation under epidural analgesia.However, the control group (n =40) had no epidural analgesia.Latent phase of labor was shorter in observation group than that in control group [(198.7 ± 65.7) vs.(242.9 ± 78.9) min, P ＜0.05].And the incidence of cesarean section and perineal laceration was lower under epidural analgesia(8％ vs.15％, 45％ vs.50％ respectively).There were no effects on success rate of induced labor in neither group.Cook balloon could shorten latent phase of labor, relieve the pain of parturients and increase no infection rate [leukocyte count : (8.82 ± 2.74) × 109/L vs.(9.10 ± 3.06) × 109/L, C-reactive protein: (4.73 ±0.87) mg/L vs.(4.82 ±0.90) mg/L respectively].It is worth wider clinical popularization.