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目的探讨COOK宫颈球囊联合缩宫素促宫颈成熟引产的临床效果。方法收集2015年1月至2016年12月于东莞市长安医院就诊的115例延期(过期)妊娠或羊水过少(偏少)产妇资料进行回顾性分析,根据引产方式分为对照组(68例)与观察组(47例)。对照组产妇使用缩宫素,观察组产妇予以缩宫素联合COOK宫颈球囊治疗,比较两组产妇临床效果、不良事件发生情况、产程以及分娩结局。结果观察组产妇的总有效率明显高于对照组,剖宫产率显著低于对照组,差异均有统计学意义(均P<0.05);观察组产妇总产程、第一产程及第二产程均明显短于对照组,差异均有统计学意义(均P<0.05);观察组新生儿Apgar评分明显高于对照组,差异有统计学意义(P<0.05)。结论缩宫素联合COOK宫颈球囊应用于促宫颈成熟引产中,效果较佳,可促进分娩顺利进行。
Objective To investigate the clinical effect of COOK cervical balloon combined with oxytocin in inducing cervical ripening. Methods A retrospective analysis was performed on 115 cases of postponement (expired) pregnancy or oligohydramnios (partial) from January 2015 to December 2016 in Dongguan Chang’an Hospital. According to the method of induction of labor, the patients were divided into control group (68 cases ) And observation group (47 cases). The control group maternal use of oxytocin, observation group maternal oxytocin combined with COOK cervical balloon therapy, the clinical efficacy of two groups of maternal, adverse events, labor and delivery outcomes. Results The total effective rate of maternal women in the observation group was significantly higher than that of the control group, and the cesarean section rate was significantly lower than that of the control group (all P <0.05). The total labor, Were significantly shorter than the control group, the difference was statistically significant (all P <0.05); Apgar score was significantly higher in the observation group neonates compared with the control group, the difference was statistically significant (P <0.05). Conclusions Oxytocin combined with COOK cervical balloon applied to promote cervical mature induction of labor, the better, can promote the smooth progress of delivery.