您的位置: 首页 > 2015年7月 第46卷 第4期 > 文字全文
2023年7月 第38卷 第7期11
目录

COOK双球囊导管与欣普贝生用于足月妊娠引产疗效观察

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

来源期刊: 广州医药 | 41-43 发布时间:2021-11-30 收稿时间:2025/11/13 16:44:50 阅读量:17
作者:
关键词:
促宫颈成熟引产COOK双球囊导管欣普贝生
Cervical ripeningInduced labourCOOK double balloon catheterPropess cervical
DOI:
10.3969/j.issn.1000-8535.2015.04.013
收稿时间:
2015-01-03 
修订日期:
 
接收日期:
 
引用总数:
0  
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。
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.
1、 Salim R,Zafran N,Nachum Z,et al.Single-balloon compared with double-balloon catheters for induction of labor:a randomized controlled trial[J]. Obstet Gynecol,2011,118(1):79-86. Salim R,Zafran N,Nachum Z,et al.Single-balloon compared with double-balloon catheters for induction of labor:a randomized controlled trial[J]. Obstet Gynecol,2011,118(1):79-86.
2、 Cromi A,Ghezzi F,Uccella S,et al. A randomized trial of preinduction cervical ripening:dinoprost one vaginal insert versus double-balloon catheter[J].Am J Obst et Gunecol,2012,207(2):125.e1-e7. Cromi A,Ghezzi F,Uccella S,et al. A randomized trial of preinduction cervical ripening:dinoprost one vaginal insert versus double-balloon catheter[J].Am J Obst et Gunecol,2012,207(2):125.e1-e7.
3、 Hill JB,Thigpen BD,Bofill JA,et al. A randomized clinical trial comparing vaginal misoprostol versus cervical Foley plus oral misoprostol for cervical ripening and labor induction[J]. Am J Perinatol,2009,26(1):33-38. Hill JB,Thigpen BD,Bofill JA,et al. A randomized clinical trial comparing vaginal misoprostol versus cervical Foley plus oral misoprostol for cervical ripening and labor induction[J]. Am J Perinatol,2009,26(1):33-38.
4、 Kehl S,Ehard A,Berlit S,et al.combination of misoprostol and mechanical dilation for induction of labour:a randomized controlled trial[J].Eur J Obstet Gynecol Reprod Biol,2011,159(2):315-319. Kehl S,Ehard A,Berlit S,et al.combination of misoprostol and mechanical dilation for induction of labour:a randomized controlled trial[J].Eur J Obstet Gynecol Reprod Biol,2011,159(2):315-319.
5、 CE,JJ Henderson,MJ O'Neill,et al.Induction of labour in nulliparous women with an unfavourable cervix:a randomised controlled trial comparing double and single balloon catheters and PGE2gel[J]. BJOG,2009,116(11):1443-1452. CE,JJ Henderson,MJ O'Neill,et al.Induction of labour in nulliparous women with an unfavourable cervix:a randomised controlled trial comparing double and single balloon catheters and PGE2gel[J]. BJOG,2009,116(11):1443-1452.
6、 Laughon SK,Zhang J,Grewal J,et al. Induction of labor in a contemporary obstetric cohort[J]. Am J Obstet Gynecol,2012,206(6):486-488. Laughon SK,Zhang J,Grewal J,et al. Induction of labor in a contemporary obstetric cohort[J]. Am J Obstet Gynecol,2012,206(6):486-488.
7、 Larra?aga-Azcárate C,Campo-Molina G. Dinoprostone vaginal slow-release system (Propess) compared to expectant management in the active treatment of premature rupture of the membrane at term: impact on maternal and fetal outcomes[J]. Acta Obstet Gynecol Scand,2008,87(2): 195. Larra?aga-Azcárate C,Campo-Molina G. Dinoprostone vaginal slow-release system (Propess) compared to expectant management in the active treatment of premature rupture of the membrane at term: impact on maternal and fetal outcomes[J]. Acta Obstet Gynecol Scand,2008,87(2): 195.
8、 Jozwiak M,Bloemenkamp KW. Mechanical methods for induction of labour[J]. Cochrane Database Syst Rev,2012,14(3): CD001233. Jozwiak M,Bloemenkamp KW. Mechanical methods for induction of labour[J]. Cochrane Database Syst Rev,2012,14(3): CD001233.
9、 Mozurkewich EL,Chilimigras TL,Berman DR,et al. Methods of induction of labour:A systematic review[J]. BMC Pregnancy and Childbirth,2011,11(1):84-102. Mozurkewich EL,Chilimigras TL,Berman DR,et al. Methods of induction of labour:A systematic review[J]. BMC Pregnancy and Childbirth,2011,11(1):84-102.
10、 吴玲玲, 周水生,黄敏. 普贝生用于足月妊娠引产116例临床效果[J].广东医学,2008,29(6):1036-1037 吴玲玲, 周水生,黄敏. 普贝生用于足月妊娠引产116例临床效果[J].广东医学,2008,29(6):1036-1037
11、 李云秀, 付帅,柏智,等,宫颈扩张球囊促宫颈成熟及引产的效果[J].广东医学,2013, 34(15),2358-2360. 李云秀, 付帅,柏智,等,宫颈扩张球囊促宫颈成熟及引产的效果[J].广东医学,2013, 34(15),2358-2360.
12、 Vellekoop J,Vrouenraets FP,Vander Steeg JW,et al. Indications and results of labour induction in nulliparous women:An interview among obstetricians,residents and clinical midwives[J]. Eur J Obstet Gynecol Reprod Biol,2009,146(2):156-159. Vellekoop J,Vrouenraets FP,Vander Steeg JW,et al. Indications and results of labour induction in nulliparous women:An interview among obstetricians,residents and clinical midwives[J]. Eur J Obstet Gynecol Reprod Biol,2009,146(2):156-159.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录