静滴缩宫素联合COOK双球囊促宫颈成熟并引产的效果

陈玉婷 初晓丽 陶春梅 陈云霞

[摘要]目的 觀察静滴缩宫素（OT）联合COOK双球囊促宫颈成熟引产的作用效果。方法 选择深圳市宝安区沙井人民医院2016年7月～2017年12月收治的孕产妇124例作为观察对象.依照随机数字表法分为对照组和观察组，每组各62例。对照组应用控释地诺前列酮栓进行引产，观察组则应用静滴OT联合COOK双球囊促宫颈成熟引产，比较两组的宫颈成熟情况及分娩结局。结果 观察组宫颈成熟总有效率为96.16%，明显高于对照组的80.65%，引产成功率为90.32%，明显高于对照组的75.81%，分娩方式方面，观察组的阴道分娩率为69.35%，明显高于对照组的48.39%；观察组的阴道分娩总产程时间为（406±163） min，明显短于对照组的（543±194） min，差异均有统计学意义（P<0.05）。结论 静滴OT联合COOK双球囊促宫颈成熟疗效确切，可提高阴道分娩率并缩短产程。

[关键词]缩宫素；宫颈成熟；COOK双球囊

[中图分类号] R719.3 [文献标识码] A [文章编号] 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.