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目的探讨COOK双球囊在产科引产促宫颈成熟中的应用。方法选择80例产妇,随机分为两组,对照组予以缩宫素引产,观察组予以COOK双球囊引产,对比两组宫颈Bishop评分、安全性指标及住院费用。结果两组在引产前的宫颈Bishop评分无统计学差异(P>0.05);引产后Bishop评分与引产前相比具有统计学差异(P<0.05),且观察组评分高于对照组(P<0.05);观察组引产有效率高于对照组(P<0.05)。两组在产褥病率方面无统计学差异(P>0.05);观察组在产时失血量、产后24 h失血量、宫颈裂伤率、阴道壁血肿率、胎儿窘迫率、转新生儿科率、新生儿窒息率及羊水分度方面均优于对照组(P<0.05)。对照组产后住院天数、人均住院花费、日平均花费、手术费用方面高于观察组(P<0.05)。结论 COOK双球囊在产科引产中效果显著,经济安全,值得推广。
Objective To investigate the application of COOK double balloon in cervical ripening induced by labor induction. Methods Eighty pregnant women were randomly divided into two groups. The control group was given oxytocin. The observation group was given COOK double balloon abortion. The Bishop score, safety index and hospitalization cost were compared between the two groups. Results There was no significant difference in Bishop score before induction of labor between the two groups (P> 0.05). Bishop score after induction of labor was significantly higher than that before induction of labor (P <0.05), and the score of observation group was higher than that of control group (P < 0.05). The effective rate of induction of labor in observation group was higher than that of control group (P <0.05). There was no significant difference between the two groups in the rate of puerperal (P> 0.05). The blood loss in the observation group, blood loss at 24 h postpartum, cervical laceration rate, vaginal wall hematoma rate, fetal distress rate, neonatal transfer rate , Neonatal asphyxia rate and amniotic fluid index were better than the control group (P <0.05). Control group postpartum hospital days, per capita hospitalization costs, average daily costs, operating costs were higher than the observation group (P <0.05). Conclusions COOK double balloon in obstetric induction of labor effect is significant, economic security, it is worth promoting.