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目的:探讨Cook球囊促宫颈成熟引产与胎膜早破引产的结局对比。方法:选取2015年1月至2016年8月在惠州市中大惠亚医院分娩的175例足月单胎初产妇,分为观察组(n=75),对照组(n=100)。观察组为有引产指征的未破膜孕妇,予Cook球囊促宫颈成熟后人工破膜,破膜后1 h无规律宫缩予静滴缩宫素引产;对照组为入院前已胎膜早破,自然破膜超过2 h无规律宫缩,予静滴缩宫素引产。对比分析两组的分娩结局及新生儿结局。结果:(1)两组孕产妇破膜至临产时间比较,差异具有统计学意义(P<0.05)。(2)两组剖宫产率、经阴道分娩的产程、产后出血、宫颈裂伤、宫内感染比较,差异均无统计学意义(P>0.05)。(3)两组新生儿出生体质量比较,差异具有统计学意义(P<0.05);胎儿窘迫及新生儿窒息发生率比较,差异均无统计学意义(P>0.05)。结论:Cook球囊引产是安全有效的,对于有引产指征的孕产妇可以应用。
Objective: To investigate the outcome of Cook balloon-induced cervical ripening induced abortion and premature rupture of membranes. Methods: A total of 175 full-term single-born primiparous women were enrolled in the Central Hospital of Huida, Huizhou from January 2015 to August 2016. The patients were divided into observation group (n = 75) and control group (n = 100). In the observation group, there were unruptured pregnant women who were induced by induction of labor. The patients were pre-treated with Cook balloon for artificial rupture of the cervix. After 1 h of rupture, irregular contractions of the uterine contractions were induced by intravenous oxytocin. In the control group, Broken early, natural rupture of membranes more than 2 h irregular contractions, intravenous oxytocin induced labor. Comparative analysis of the two groups of childbirth outcomes and neonatal outcomes. Results: (1) There was significant difference between the two groups in rupture of maternal membranes to labor time (P <0.05). (2) There was no significant difference in cesarean section rate, labor during vaginal delivery, postpartum hemorrhage, cervical laceration and intrauterine infection (P> 0.05). (3) There was no significant difference in birth weight between the two groups (P <0.05). There was no significant difference in fetal distress and neonatal asphyxia (P> 0.05). Conclusion: Cook balloon induction of labor is safe and effective, and it can be used for pregnant women who have induced labor induction.