中国当代医药2016，Vol.23Issue(19)：112-115,4.
两种宫颈扩张球囊用于足月妊娠促宫颈成熟的比较
Comparison of two kinds of cervical expanding balloon in promoting full-term pregnancy cervical mature
摘要
Abstract
Objective To explore the clinical effects of two kinds of cervical dilation balloon in promoting full-term pregnancy cervical mature.Methods 104 single fetal head primipara who were expectant in our hospital from October 2015 to February 2016 were selected.All of the primipara had induced labor indications,and cervical Bishop score was less than 6 scores.Patients were randomly divided into two groups.54 patients were used COOK double cavity cervical expanding balloon (COOK balloon group),and 50 patients were used single cavity cervical expanding balloon (single cavity balloon group).After using balloon,the cervical ripening,placing time,natural labor situation after placement,vagi-nal delivery rate,postpartum hemorrhage,newborn asphyxia,blood routine test in postpartum 24 h and maternal satisfac-tion in two groups were compared.Results Before induced labor,the cervical Bishop score between two groups had no statistical difference (P﹥0.05).The average placing time in COOK balloon group was (11.00±1.66) h,shorter than (13.10± 3.56) h in single cavity balloon group,and the difference was statistical significance (P﹤0.01).The natural labor rate in COOK balloon group and single cavity balloon group was respectively 15.7%and 24.0%,promoting cervical mature ef-fective rate was respectively 88.9% and 86.0%,vaginal delivery rate was respectively 76.9% and 72.0%,and all differ-ences had no statistical significance (P﹥0.05).Birth weight of newborn in COOK balloon group and single cavity balloon group was respectively (3220.00±356.90) g and (3102.00±403.85) g,newborn asphyxia rate was respectively 3.7% and 2.0%,postpartum hemorrhage rate was respectively 5.6%and 8.0%,white blood cell count in postpartum 24 h was respec-tively (12.2±2.5)×109/L and (12.5±2.7)×109/L,maternal satisfaction was respectively 85.1%and 78.0%,and all differences had no statistical significance (P﹥0.05).Conclusion The effects of COOK double cavity cervical expanding balloon with single cavity cervical expanding balloon in promoting cervical mature are similar,the placing time of single cavity cervi-cal expanding balloon is longer than that of COOK double cavity cervical expanding balloon,but has no adverse impact on newborns and primipara.So two kinds of methods can be widely used in clinic to promote cervical mature.关键词
足月妊娠/促宫颈成熟/COOK双腔宫颈扩张球囊/单腔宫颈扩张球囊/引产Key words
Full-term pregnancy/Maturing cervix/COOK cervical expanding balloon/Single cavity cervical ex-panding balloon/Induced labour分类
医药卫生引用本文复制引用
胡玉芹,朱斌,梁健梅..两种宫颈扩张球囊用于足月妊娠促宫颈成熟的比较[J].中国当代医药,2016,23(19):112-115,4.基金项目
广东省广州市番禺区科技计划项目(2014-Z03-07) （2014-Z03-07）
