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目的:观察Cook宫颈扩张球囊和地诺前列酮栓(普贝生)用于足月妊娠促宫颈成熟的效果,评价其有效性与安全性。方法:选取我院2015年1月-2015年7月收治具引产指征的孕妇60例,随机分为对照组和观察组,每组30例,对照组孕妇阴道后穹隆放置普贝生1枚,观察组孕妇宫颈放置Cook宫颈扩张球囊。对两组孕妇的宫颈Bishop评分、产后出血、临产情况、用药至临产发作时间、阴道分娩率、剖宫产率及新生儿窒息率进行比较。结果:观察组选取的病例产后出血量明显少于对照组,组间比较,差异具有统计学意义(P<0.05);两组产妇宫颈Bishop评分分别为(7.5±2.1)及(7.4±2.3)分,差异无统计学意义(P>0.05);观察组剖宫产率为13.3%、急产发生率为50%、阴道分娩率为86.7%,对照组剖宫产率20%、急产率为70%及阴道分娩率分别为80%,组间比较,差异均具有统计学意义(P<0.05);观察组新生儿窒息率为6.67%,对照组为16.67%,组间比较,差异具有统计学意义(P<0.05)。结论:在促宫颈成熟中,严格掌握Cook宫颈扩张球囊指征,降低剖宫产率。
Objective: To observe the effect of Cook cervical dilatation balloon and dinoprostone suppository (Probe) on maturation of cervix in full-term pregnancy to evaluate its effectiveness and safety. Methods: Sixty pregnant women, who were admitted to our hospital from January 2015 to July 2015, were randomly divided into control group and observation group, with 30 cases in each group. One pregnant woman In the observation group, the Cook cervical dilatation balloon was placed in the cervix of the pregnant woman. Cervical Bishop score, postpartum hemorrhage, labor status, time from medication to labor onset, vaginal delivery rate, cesarean section rate and neonatal asphyxia were compared between the two groups. Results: The postpartum hemorrhage volume in the observation group was significantly less than that in the control group. The differences between the two groups were statistically significant (P <0.05). The Bishop scores of the two groups were (7.5 ± 2.1) and (7.4 ± 2.3) (P> 0.05). The rate of cesarean section in the observation group was 13.3%, the incidence of acute birth was 50%, the vaginal delivery rate was 86.7%, the rate of cesarean section in the control group was 20% (P <0.05). The incidence of asphyxia was 6.67% in the observation group and 16.67% in the control group. There was significant difference between the two groups Statistical significance (P <0.05). Conclusion: In promoting cervical ripening, strict control of Cook cervical dilation balloon indications and reduce cesarean section rate.