赵欢 南妮妮 武崇萍

【摘 要】目的：探讨COOK宫颈扩张球囊+缩宫素引产对母婴结局的影响。方法：选择120例足月临产妇作为本次研究对象，按照电脑盲选法将其分为参照组（采用缩宫素引产）与试验组（采用COOK宫颈扩张球囊+缩宫素引产），每组各60例，对比两组宫颈成熟效率、胎儿窘迫、剖宫产发生率及分娩情况。结果：试验组宫颈成熟效率高于参照组（P<0.05）；试验组胎儿窘迫及剖宫产发生率低于参照组（P<0.05）；试验组分娩情况（产后出血、总产程以及诱发临产时间）优于参照组（P<0.05）。结论：临产妇应用COOK宫颈扩张球囊+缩宫素引产效果显著，能够有效提升引产效率，改善分娩情况，避免发生剖宫产以及胎儿窘迫等现象，值得运用。

【关键词】缩宫素；临产妇；宫颈扩张球囊

Effect of COOK cervical dilatation balloon combined with oxytocin for labor induction on maternal and infant outcome

Zhao Huan，Nan Nini，Wu Chongping

The First Affiliated Hospital of Xi’an Jiaotong University，Shanxi Xi’an 710000，China

【Abstract】Objective： To investigate the influence of COOK cervical dilation balloon+oxytocin on the outcome of mother and infant.Methods： 120 cases of full-term parturient women were selected as the research object and divided into a reference group（using oxytocin to induce labor） and a test group（using COOK cervical dilation balloon+oxytocin to induce labor）according to the blind selection method of computer，with 60 cases in each group，comparison the cervical maturation efficiency，fetal distress，incidence of cesarean section and delivery status in the two groups.Results： The cervical maturation rate in the test group was higher than that in the reference group（P<0.05）； The incidence of fetal distress and cesarean section in the test group was lower than that in the control group（P<0.05）； The delivery situation （postpartum hemorrhage， total labor process and induced labor time） in the test group was better than that in the reference group（P<0.05）.Conclusion： The application of COOK cervical dilation balloon + oxytocin for labor induction in parturient women is effective， which can effectively improve the efficiency of labor induction， improve the delivery situation， and avoid the occurrence of cesarean section and fetal distress. It is worth using.

【Key？Words】Oxytocin；Parturient women；Cervical dilation balloon

足月引產是通过人工促产来终止妊娠的一种方式，以免孕妇继续妊娠给自身及新生儿造成不必要的消极影响[1]。临床中既往常通过剖宫产方式进行引产，现如今，为避免剖宫产所带来的并发症，确保胎儿娩出后能够更好适应外界环境，临床目前推荐人工促产方式来结束孕妇妊娠期。而宫颈成熟则是引产可行性的重要指标之一，以往临床应用静脉滴注小剂量缩宫素来促进孕妇宫颈成熟，但从应用结果发现，其效果无法令人满意。随着临床诊疗技术提升和妇产科方向研究的不断深入，临床往往在应用缩宫素的同时，额外加以应用COOK球囊，以此促进宫颈成熟、扩张[2]。鉴于此，本文旨在COOK宫颈扩张球囊+缩宫素引产对母婴结局的影响进行探讨，阐述如下。……