Cook® 宫颈成熟球囊对促进高危产妇宫颈扩张以尽早终止妊娠的临床效果。

Xiaorui Han, Junnan Cai, Wei Dong, Ya Li
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引用次数: 0

摘要

我们旨在评估催产素、米索前列醇、控释地诺前列酮栓和Cook®宫颈成熟球囊对高危产妇提前终止妊娠的临床效果。将2018年5月至2020年7月期间接受治疗的不适合待产的四百名高危足月产产妇用随机数字表法分为I-IV组(n=100)。他们分别接受催产素、米索前列醇、控释地诺前列酮栓和Cook®宫颈成熟球囊引产。比较了一般资料、宫颈成熟效果、分娩结局、分娩时间、不良反应和新生儿情况。II-IV组从引产开始到分娩的时间以及第一产程、第三产程和总产程的持续时间均短于I组(P<0.05)。II 组和 III 组的过度宫缩发生率高于 I 组和 IV 组,I-III 组的胎儿窘迫发生率高于 IV 组(P<0.05)。III 组和 IV 组的新生儿 Apgar 评分高于 I 组和 II 组(P<0.05)。Cook®宫颈成熟术可促进宫颈成熟,缩短引产时间,缩短产程。
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Clinical effects of Cook® cervical ripening balloon on promoting cervical dilation for early termination of pregnancy in high-risk parturients.
We aimed to evaluate the clinical effects of oxytocin, misopros-tol, controlled-release dinoprostone suppository, and Cook® cervical ripening balloon on early termination of pregnancy in high-risk parturients. Four hun-dred high-risk full-term parturients not in labor who were unsuitable for await-ing delivery and treated from May 2018 to July 2020 were divided into groups I-IV with a random number table (n=100). They received labor induction by oxytocin, misoprostol, controlled-release dinoprostone suppository, and Cook® cervical ripening balloon, respectively. The general data, cervical ripening ef-fect, delivery outcome, delivery time, adverse reactions, and neonatal condi-tions were compared. The time from the beginning of labor induction to labor and duration of the first, third, and total stages of labor were shorter in group II-IV than in group I (p<0.05). The incidence rates of excessive uterine contrac-tion in groups II and III were higher than those of groups I and IV, and the inci-dence rates of fetal distress in groups I-III exceeded that of group IV (p<0.05). The neonatal Apgar scores of groups III and IV were higher than those of groups I and II (p<0.05). Cook® cervical ripening can promote cervical maturation and shorten the labor induction time and stage of labor.
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