重庆医学2012，Vol.41Issue(36)：3820-3822,3.DOI:10.3969/j.issn.1671-8348.2012.36.008
COOK双球囊与缩宫素促宫颈成熟并引产的对照研究
A control study of COOK double balloon dilation and oxytocin for cervical ripening and induction of labor
摘要
Abstract
Objective The purpose of this study was to compare the safety and efficacy of COOK double balloon dilation and ox ytocin for preinduction cervical ripening and labor induction. Methods A total of 320 patients with indications of labor,a singleton fetus in cephalic presentation,over 37 weeks gestation were recruited and analyzed by retrospective control analysis method. 160 ca ses received low dose of oxytocin by an intravenous infusion as control group,while another 160 cases adopt COOK double balloon dilation for 12 h followed by an intravenous oxytocin infusion as study group. Then the maternal adverse reactions,mode of delivery and delivery outcome of the two groups were compared respectively. Results Maternal indications for induction of labor included postterm pregnancy,oligohydramnios,hypertensive disorders,et al. Compare the study group and the control group,there are signif icant difference in the Bishop s score(100% and 79. 38% respectively,P<0. 05) ,the vaginal delivery rates(81. 25% and 65% re spectively,P<0. 05)and the caesarean delivery rates(18. 75% and 35% respectively,P<0. 05). Indications of the cesarean delivery include relative cephalopelvic disproportion,active phase obstruction and hypertensive disorders. There was no significant difference in the outcome of mother and child in the two groups. There were 4 and 2 cases of forceps delivery in the study group and the con trol group respectively,showing no significant difference. And 3 cases of complications during the induction of labor occurred in each group,both accounted for 1. 88%. In addition,there were 2 cases of umbilical cord prolapse and 1 case of intrauterine infection in the study group,2 cases of uterine hyperstimulation and 1 case of placental abruption in the control group. Conclusion COOK double balloon dilation is better than intravenous infusion of oxytocin for cervical ripening and induction of labor without increasing any complications.关键词
催产素/引产/剖宫产术/COOK双球囊Key words
oxytocin/labor,indaced/caesarean section/COOK double balloon引用本文复制引用
范翠芳,张正娥,明蕾,陈建华..COOK双球囊与缩宫素促宫颈成熟并引产的对照研究[J].重庆医学,2012,41(36):3820-3822,3.基金项目
国家自然科学基金资助项目(30640039). （30640039）
