[1]刘琼珊*,陈洁婷,范馥芳.COOK宫颈扩张球囊在引产中的安全有效性及 患者满意度的相关研究[J].中国计划生育和妇产科,2020,(9):37-41,46.
　LIU Qiongshan*,CHEN Jieting,FAN Fufang.The safety and effectiveness of COOK cervical ripening balloon in induction of labor and related research on patient satisfaction[J].Chinese Journal of Family Planning & Gynecotokology,2020,(9):37-41,46.
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COOK宫颈扩张球囊在引产中的安全有效性及 患者满意度的相关研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年9期
页码:
37-41,46
栏目:
论著与临床
出版日期:
2020-09-25

文章信息/Info

Title:
The safety and effectiveness of COOK cervical ripening balloon in induction of labor and related research on patient satisfaction
作者:
刘琼珊*; 陈洁婷; 范馥芳
汕头市中心医院妇产科
Author(s):
LIU Qiongshan*; CHEN Jieting; FAN Fufang
Department of Obstetrics and Gynecology,Shantou Central Hospital, Shantou Guangdong 515031,P.R.China
关键词:
COOK宫颈扩张球囊; 引产; 安全有效性; 患者满意度
Keywords:
the COOK cervical ripening balloon; induction of labour; safety and effectiveness; patient satisfaction
分类号:
R 7193
摘要:
目的采用COOK宫颈扩张球囊(cervical ripening balloon,CRB)作为引产方法，探讨机械性方法引产的安全有效性及患者对该引产方式的满意度。方法回顾性分析2017年5月至2018年5月在汕头市中心医院住院并引产的120例产妇。按照引产方式不同分为COOK CRB组和单用缩宫素组，每组各60例。对比两组产妇一般临床资料、分娩情况、产后状态及新生儿资料。全面探讨COOK CRB和缩宫素两种引产方式的有效性及安全性。结果COOK CRB组与缩宫素组在引产开始至宫颈扩张至≥6 cm的时间［（1710±414）h vs（1910±483）h］、24 h阴道分娩率（5510 % vs 4750 %)、引产失败率（1833 % vs 3333 %）、产后血红蛋白量［（10527±1322）g/L vs（10252±1329)g/L］、住院时间 ［(373±082)d vs（490±117)d］、引产过程中疼痛评分［(583±152)分 vs（665±138)分］、患者满意度评分［(428±080)分 vs（361±086)分］及推荐程度（662 % vs 543 %）之间比较，差异均有统计学意义（P<005）。两组产妇引产失败原因比较，胎儿窘迫（1167 % vs 2333 %）和子宫过度刺激(0 vs 1500 %)差异有统计学意义（P<005），且COOK CRB组的新生儿转科率明显低于缩宫素组（833 % vs 2166 %）（P<005）。 结论COOK宫颈扩张球囊作为引产中的一种机械方法，干预后在24 h内可有效地实施阴道分娩，子宫过度刺激的风险较低，降低了剖宫产率，减少了母儿并发症，提高了临床引产率。且患者对该项引产方式满意度较高，愿意推荐其他亲友使用。
Abstract:
ObjectiveUsing COOK cervical ripening balloon(CRB) as the method of labor induction,the safety and effectiveness of mechanical method of labor induction and the patient's satisfaction with this method of labor induction were discussed.MethodsA retrospective analysis of 120 women who were hospitalized and induced labor in Shantou Central Hospital from May 2017 to May 2018. According to different methods of induction, they were divided into COOK CRB group and Oxytocin alone group, with 60 cases in each group.The general clinical data, delivery status, postpartum status and neonatal data of the two groups were compared. Comprehensively discussed the efficacy and safety of COOK CRB and Oxytocin alone.ResultsThere were significant differences between the two groups in time from the start of labor induction to cervical dilation ≥6 cm［(1710±414)h vs (1910±483)h］、rate of delivery time within 24 h(5510 % vs 4750 %)、failed rate of labor induction (1833 % vs 3333 %）、the amount of postpartum hemoglobin［(10527±1322)g/L vs (10252±1329)g/L］、the duration of hospital stays［(373±082)d vs (490±117)d］、pain score in labor induction［(583±152)score vs (665±138)score］、maternal satisfaction overall score［(428±080)score vs (361±086)score］ and recommendation level（662 % vs 543 %)(P<005). Comparison of the reasons for the failure of labor induction between the two groups of women，the differences between fetal distress (1167 % vs 2333 %) and uterine hyperstimulation (0 vs 1500 %) were statistically significant (P<005). The rate of newborns transfer in COOK CRB group was less than in Oxytocin group （833 % vs 2166 %）(P<005).ConclusionCOOK CRB as one of the mechanical methods of labor induction,which was effective in achieving vaginal delivery within 24 h of the start of the intervention, with the lower risk of uterine hyperstimulation, hoping to reduce cesarean section rate, to decrease maternal and neonatal complications, to improve clinical induction rate. Patients using this method were satisfactory and would recommend.

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备注/Memo

备注/Memo:
广东省汕头市医疗卫生科技计划项目（项目编号：汕府科【2017】119号25）
更新日期/Last Update: 2020-09-25