三种方式对足月羊水偏少孕妇引产的效果对比分析

发布时间：2018-06-02 02:48

本文选题：人工破膜 + 催产素　；参考：《湖南师范大学学报(医学版)》2016年05期

【摘要】：目的 :对比分析人工破膜+小剂量米索、催产素点滴引产、人工破膜联合催产素三种方法对足月羊水偏少孕妇的引产效果。方法 :对本院妇产科2011年7月~2014年12月227例足月羊水偏少孕妇的引产情况进行总结分析,其中人工破膜+催产素点滴69例(A组)、催产素点滴88例(B组)、人工破膜+小剂量米索70例(C组),对比三组的引产效果及未产结局差异。结果 :进行引产处理后三组产妇的宫颈Bishop评分均逐渐提高,在引产处理后第4、8、12h C组的Bishop评分评分显著的高于A、B组;在引产处理后第4、8、12h A组的Bishop评分评分显著的高于B组。C组的临产时间、总产程显著的低于A、B组;A组的临产时间、总产程显著的低于B组。C组的剖宫产率显著的低于A、B组;C两组的第1min 5min Apgar评分显著的高于B组。结论 :人工破膜+小剂量米索对足月羊水偏少孕妇的引产效果安全有效。
[Abstract]:Objective: to compare and analyze the effect of three methods of artificial membrane breaking, oxytocin induced labor and artificial membrane breaking combined with oxytocin on term amniotic fluid oligohydramnios. Methods: from July 2011 to December 2014, 227 pregnant women with term amniotic fluid oligohydramnios in our hospital were analyzed. Among them, 69 cases were treated with oxytocin, 88 cases were treated with oxytocin, and 70 cases were treated with small dose of misoprostol. The results of induction of labor and the outcome of labor failure were compared among the three groups. Results: the cervix Bishop scores of the three groups increased gradually after induced labor treatment. The Bishop score of group C was significantly higher than that of group B at 812 h after induced labor treatment. The Bishop score of group A was significantly higher than that of group B and group C, and the total labor process was significantly lower than that of group A at 8h after induced labor. The rate of cesarean section in group C was significantly lower than that in group B (P < 0.05). The score of 1min 5min Apgar in group C was significantly higher than that in group B. Conclusion: it is safe and effective to induce labor in term amniotic fluid oligohydramnios with low dose of misoprostol.
【作者单位】：江苏省昆山第四人民医院;江苏省昆山市第一人民医院友谊院区产科;
【分类号】：R719.3

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