摘要
目的:比较缩宫素与米索在足月妊娠引产中的作用。方法:选择正常单胎头位足月妊娠具有引产指征而无禁忌证的孕妇120例,随机分为两组,米索组用米索前列醇50ug放置阴道后穹窿,每4h1次,最多用3次。缩宫素组用缩宫素2.5IU加入5%葡萄糖500ml内。结果:米索组引产成功率96.67%,缩宫素组71.67%,P<0.05,有显著差异;低宫颈评分者引产成功率,米索组81.67%,缩宫素组53.33%,P<0.05,有显著差异;总产程时间米索组短于缩宫素组,两组分娩方式、产后出血、以及新生儿情况无显著差异。结论:米索前列醇既能促进宫颈成熟,又能发动规律宫缩,是与催产素同样有效的引产方法,但需严密监测。
Objective Comparing the role of oxytoein and prostaglandin in induced labor with term pregnancy. Method 120 cases of term monocyesis with cephalic presentation and indication of induced labor but no contraindications were divided into two groups randomly. Prostaglandin(P) group was treated by patting 50ug prostaglandin in posterior fornix,every 4 hours ,3 times at most. Oxytocin(C) group was treated with 2.5IU oxytocin mixed in 5%glucose solution of 500ml . Result Rate of success of induced labor was 96.67%in P group and 71.67%in O group,P<0.05,with marked difference;for those with low scores of uterine neck evaluation,rate of success in P group was 81.67%and in O group,53.33%,P<0.05.with marked difference. The whole birth process of P group is shorter than that of O group. There is no significant difference in way of labor postpartum hemorrhage and newborn conditions .Conclusion Prostaglandin can both speed up maturation of uterine neck and set off regular uterine contraction,thus is as effective as oxytocin in induced labor but its administration needs close monitoring.
出处
《安徽卫生职业技术学院学报》
2004年第3期36-37,共2页
Journal of Anhui Health Vocational & Technical College
