广州医药 ›› 2015, Vol. 46 ›› Issue (4): 41-43.DOI: 10.3969/j.issn.1000-8535.2015.04.013

• 论著 • 上一篇    下一篇

COOK双球囊导管与欣普贝生用于足月妊娠引产疗效观察

龙隽1, 许可可1, 邓志娇1, 陈美华2   

  1. 1 广东省深圳市罗湖医院妇产科(深圳 518100)
    2 广东省深圳市龙岗区第二人民医院妇产科(深圳 518112)
  • 收稿日期:2015-01-03 发布日期:2021-11-30
  • 通讯作者: 陈美华,E-mail:13640995705@163.com

Effect of COOK double balloon catheter and Propess for full-term pregnancy on induced labor

Long Jun, Xu Keke, Deng Zhijiao, Chen Meihua   

  1. Obstetrics and Gynecology, Luohu People's Hospital, Luohu District, Shenzhen 518000,China;
    Obstetrics and Gynecology, Longgang Second People's Hospital, Longgang District, Shenzhen 518112, China
  • Received:2015-01-03 Published:2021-11-30

摘要: 目的 探讨COOK双球囊导管和欣普贝生引产的优劣性。方法 选择住院分娩的孕妇388例,根据引产方式分为两组,研究组应用COOK双球囊导管,对照组应用欣普贝生。根据宫颈Bishop评分,研究组分为研究组1和研究组2,对照组分为对照组1和对照组2,研究组1和对照组1宫颈Bishop评分小于或等于3分,研究组2和对照组2宫颈Bishop评分大于3分而小于或等于6分。分别对各组促宫颈成熟及引产情况、妊娠结局进行比较。结果 各组放置COOK宫颈双球囊或欣普贝生前后,宫颈Bishop评分有差异,低宫颈Bishop评分组欣普贝生效果更好。研究组与对照组比较,阴道分娩和剖宫产病例差异无统计学意义;急产、产后出血、羊水污染病例差异有统计学意义。研究组新生儿窒息率低于对照组,体温>37.5℃发生率高于对照组,差异无统计学意义。结论 对宫颈条件较差者,建议选用欣普贝生诱导宫颈成熟;COOK双球囊导管引产,作用温和,安全性好,成功率高。

关键词: 促宫颈成熟, 引产, COOK双球囊导管, 欣普贝生

Abstract: Objective To evaluate the advantage of the COOK double balloon catheter and Propess induced labor. Methods We collected 388 cases with pregnant women. The patients were divided into the research and control groups. The research group applied COOK double balloon catheter while the control group applies Propess. According to cervical Bishop rating, the research team was divided into research group 1 and research group 2. The control group was divided into control group 1 and the control group 2. The cervical Bishop score of the research group 1 and control group 1 was less than or equals 3 points. The cervical Bishop score of the research group 2 and the control group 2 was greater than 3 and less than or equal 6 points. We separately compared the pregnancy outcome for each group to promote cervical mature and induced labor situation. Results The cervical Bishop scores have significant difference before and after COOK cervical double balloon and Propess are positioned between two groups.The effect of low cervical Bishop scores group is better than the high cervical Bishop by propess. The rates of urgent production, postpartum hemorrhage and amniotic fluid pollution reduce significant in the research group. The neonatal asphyxia rate, incidence of temperature > 37.5, vaginal delivery cases and cesarean section cases have not significant differences between the research group and the control group. Conclusion We suggest that patients whose cervical condition is poor should choose Propess induced cervical mature; The COOK double balloon catheter induced labor is safe and has a high success rate.

Key words: Cervical ripening, Induced labour, COOK double balloon catheter, Propess cervical