摘要
1目的 比较各种常用引产方法的利弊 ,探讨最佳引产方法。 2方法 对 5 85例晚期孕妇所采用的 5种引产方法进行回顾性分析 ,比较各种方法的引产成功率。 3结果 各引产方法中以蓖麻油引产餐加人工破膜及应用米索前列醇的成功率最高 (85 .48% ) ;宫颈 Bishop评分≤ 6分的病人中 ,亦以蓖麻油引产餐加人工破膜及应用米索前列醇组成功率最高 (6 7.86 % ) ;引产成功病人中 ,各组的分娩方式和平均产程无差异 ,米索前列醇组宫缩过强的发生率明显高于缩宫素组 (χ2 =11.5 84,P<0 .0 0 1)。 4结论 蓖麻油引产餐加人工破膜及应用米索前列醇的引产成功率最高 ;对于宫颈未成熟病人 ,采取适当的软化宫颈措施 ,将有效地提高引产成功率。
Objective To compare the advantage and the disadvantage of five kinds of labour induction methods and determine the best one. Methods Five kinds of labour induction methods used in 585 pregnant women during recent four years were analysed retrospectively, and the success rate of the five methods was compared. Results Of the five kinds of methods, the success rate of the method of castor oil fried egg+amniotomy+misoprostol was the highest(85.48%) and when Bishop score was less than 6, the success rate of castor oil fried egg+amniotomy+misoprostol group was still the highest (67.83%). There was no significant difference between the five groups in the cesarean section rate and the mean duration of labour in the patients with successful labour induction. The incidence of hypertonic uterine contraction of misoprostol group was significantly higher than that of oxytocin group (χ 2=11.584, P<0.001).\ Conclusion\ Castor oil fried egg+amniotomy+misoprostol is the most effective labour induction method. For those with unripe uterine cervix, taking some adequate measures to augment the ripening of the uterine cervix is effective in increasing the success rate of labour induction.;[
出处
《青岛大学医学院学报》
CAS
2000年第1期49-51,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
引产
妊娠末期
蓖麻油
米索前列醇
labor, induced
pregnancy trimester,third
castor oil
comparative study
