cook宫颈球囊用于足月妊娠宫颈不成熟及引产的效果分析.docVIP

COOK宫颈球囊用于足月妊娠宫颈不成熟及引产的效果分析 　　[摘要]目的 探讨COOK宫颈球囊用于足月妊娠宫颈不成熟及引产的效果。方法 选取2015年5月～2016年5月我院符合引产指针的150例足月妊娠孕妇为研究对象，随机均分为观察组和对照组各75例。观察组采用COOK宫颈球囊促宫颈成熟及引产，对照组采用催产素静脉点滴促宫颈成熟及引产，观察对比两组孕妇宫颈成熟及引产效果。结果 观察组引产后Bishop评分高于对照组[（7.32±1.12）分 vs （4.36±1.23）分]（P0.05）。观察组产时出血量和住院时间明显少于对照组（P0.05）。结论 COOK宫颈球囊用于足月妊娠促宫颈成熟及引产具有良好的临床效果，能降低孕妇分娩的风险，值得广泛推广。 　　[关键词]宫颈球囊；宫颈成熟；引产；催产素 　　[中图分类号] R719.3 [文献标识码] A [文章编号] 1674-4721（2016）11（a）-0095-03 　　[Abstract]Objective To explore the effect of COOK cervical balloon used in term pregnancy with immature and induced labor.Methods 150 cases of pregnant women in induced labor pointer full-term pregnancy in our hospital from May 2015 to May 2016 were selected as research object and randomly and evenly divided into observation group and control group，each group 75 cases.Patients in the observation group were given COOK cervical balloon to promote cervical ripening and induction of labor，while patients in the control group were given Oxytocin intravenous drip to promote cervical ripening and induction of labor，cervical ripening and induced labor effect of pregnant women in two groups were observed and compared.Results The Bishop scores of observation group after induced labor was higher than that of control group [（7.32±1.12） scores vs （4.36±1.23） scores]（P0.05）.The bleeding amount of birth and length of stay in the observation group was significantly less than that in the control group （P0.05）.Conclusion COOK cervical balloon for cervical ripening and induction of labor in term pregnancy has a good clinical effect and can reduce the risk of pregnant women，it is worth popularizing widely. 　　[Key words]Cervical balloon；Cervical ripening；Induced labor；Oxytocin 　　?S着二孩政策的开放和高龄孕产妇的逐年增加，剖宫产率呈增长趋势的不良问题引起了人们的关注。宫颈的成熟度是指在自然临产前的一个宫颈逐渐变软和缩短的过程，Bishop评分越高，则成熟度越高，因而各种原因所致的未临产将被终止妊娠产妇其宫颈的成熟度较差，需要人工促熟。孕妇的宫颈成熟程度直接影响阴道分娩情况，未成熟的宫颈引产已成为产科中非常难解决的问题[1]。目前药物引产和机械性引产用于足月妊娠促宫颈成熟及引产起着非常重要的作用，两种方法均能促进子宫收缩，降低孕妇剖宫率，减小生产风险[2-3]。宫颈球囊为宫颈扩张双球囊，是一种新型机械性促宫颈成熟装置，但临床上对宫颈球囊促宫颈成熟及引产存在争议[