靜滴縮宮素聯(lián)合COOK雙球囊促宮頸成熟并引產(chǎn)的效果

陳玉婷 初曉麗 陶春梅 陳云霞

[摘要]目的 觀察靜滴縮宮素（OT）聯(lián)合COOK雙球囊促宮頸成熟引產(chǎn)的作用效果。方法 選擇深圳市寶安區(qū)沙井人民醫(yī)院2016年7月～2017年12月收治的孕產(chǎn)婦124例作為觀察對象.依照隨機數(shù)字表法分為對照組和觀察組，每組各62例。對照組應(yīng)用控釋地諾前列酮栓進行引產(chǎn)，觀察組則應(yīng)用靜滴OT聯(lián)合COOK雙球囊促宮頸成熟引產(chǎn)，比較兩組的宮頸成熟情況及分娩結(jié)局。結(jié)果 觀察組宮頸成熟總有效率為96.16%，明顯高于對照組的80.65%，引產(chǎn)成功率為90.32%，明顯高于對照組的75.81%，分娩方式方面，觀察組的陰道分娩率為69.35%，明顯高于對照組的48.39%；觀察組的陰道分娩總產(chǎn)程時間為（406±163） min，明顯短于對照組的（543±194） min，差異均有統(tǒng)計學意義（P<0.05）。結(jié)論 靜滴OT聯(lián)合COOK雙球囊促宮頸成熟療效確切，可提高陰道分娩率并縮短產(chǎn)程。

[關(guān)鍵詞]縮宮素；宮頸成熟；COOK雙球囊

[中圖分類號] R719.3 [文獻標識碼] A [文章編號] 1674-4721（2018）8（b）-0133-03

Effect of intravenous drip of Oxytocin combined with COOK double balloon on cervical ripening and induced labor

CHEN Yu-ting1 CHU Xiao-li1 TAO Chun-mei1 CHEN Yun-xia2

1. Department of Obstetrics， Shajing People′s Hospital of Bao′an District in Shenzhen City， Guangdong Province， Shenzhen 518105，China； 2. Department of Obstetrics and Gynecology， Sha Jing People′s Hospital of Bao′an District in Shenzhen City， Guangdong Province， Shenzhen 518101， China

[Abstract] Objective To observe the clinical effect of intravenous Oxytocin（OT） on cervical ripening induced labor combined with COOK double balloon. Methods All of 124 pregnant and parturient women who were treated in Shenzhen Shajing People′s Hospital of Bao′an District in Shenzhen City from July 2016 to December 2017 were selected as the object of observation. They were divided into observation group and control group according to random number table method， 62 cases in each group..The control group was used controlledreleased dinoprostone suppositories for induction of labor， the observation group was used intravenous drip of OT to promote cervical maturation induced labor and combined COOK double balloon technique. The cervical ripening and the outcome of the two groups were compared. Results The total effective rate of cervical maturity in the observation group was 96.16%， which was significantly higher than that of the control group （80.65%）. The rate of induced labor in the observation group was 90.32%， which was significantly higher than that of the control group （75.81%）. In the way of delivery， the rate of vaginal delivery in the observation group was 69.35%， which was significantly higher than that of the control group （48.39%）. The total labor process of vaginal delivery in the observation group was （406±163）min， which was significantly shorter than that of the control group （[543±194] min）. The differences were statistically significant （P<0.05）. Conclusions Intravenous drip of OT to promote cervical maturation induced labor combined with COOK double balloon is effective， which can promote cervical maturity and improve the rate of vaginal delivery.