COOK宫颈扩张球囊和地诺前列酮栓对妊娠期高血压疾病孕妇引产效果分析

摘要

Objective To investigate the effect of pregnant women with hypertensive disorders of COOK cervical dilatation balloon and Dinoprostone Suppositories on the gestation effect and safety of induction.MethodsThe research object from June 2013 to June 2015 in our hospital for pregnant women with hypertensive disorders in pregnancy in 68 cases (all patients with gestational hypertension and mild preeclampsia) were randomLy divided into the observation.Group and control group, 34 cases in each group.The observation group received COOK cervical dilatation balloon induced labor, the control group to implement Dinoprostone Suppositories induction, comparative analysis of observation group and control group, maternal and perinatal situation, mode of delivery, the cervical Bishop score, the degree of pain.Resultsabnormal fetal heart and uterine hyperstimulation, uterine tonic contraction rate of observation group were significantly lower than the control group(P<0.05).The cesarean section rate in the observation group and the control group had no significant difference.After placement, the cervical Bishop score of observation group was significantly higher than that of control group(P<0.05).The pain degree of observation group was significantly lower than that in control group(P<0.05).ConclusionCOOK balloon dilatation of the cervix and Dinoprostone Suppositories, fewer complications, can significantly improve maternal, perinatal and cervical ripening score of Bishop.%目的 探讨COOK宫颈扩张球囊和地诺前列酮栓对妊娠期高血压疾病孕妇进行引产的效果和安全性.方法 研究对象为2013年6月~2015年6月在本院收治的68例妊娠期高血压疾病孕妇(均为妊娠期高血压患者及轻度子痫前期患者),随机分为观察组和对照组,每组34例.观察组实施COOK宫颈扩张球囊引产,对照组实施地诺前列酮栓引产,比较分析观察组及对照组的孕产妇及围产儿情况、分娩方式、宫颈Bishop评分、疼痛程度等.结果 胎心异常及子宫过度刺激、子宫强直收缩率观察组均显著低于对照组(P<0.05).观察组剖宫产率与对照组比较差异无统计学意义.放置后,观察组宫颈Bishop 评分显著高于对照组(P<0.05).观察组疼痛程度显著轻于对照组(P<0.05).结论 COOK宫颈扩张球囊与地诺前列酮栓比较,并发症较少,能够显著改善孕产妇、围产儿情况及宫颈成熟度Bishop 评分.