论文部分内容阅读
目的:探讨地诺前列酮栓用于晚期妊娠合并羊水过少引产的临床优越性。方法:将68例晚期妊娠合并羊水过少、宫颈Bishop评分平均4.8分、无阴道分娩禁忌证的单胎头位初产妇随机分为2组:34例(宫颈Bishop评分<6分)将地诺前列酮栓(普贝生)一枚置于阴道后穹窿作为实验组;34例(宫颈Bishop评分>6分)给予催产素静滴作为对照,比较2组产妇用药前及用药后12h的宫颈Bishop评分、用药到临产及分娩所需时间、胎心、羊水变化情况、分娩方式、成功率,产后出血情况、对胎儿及新生儿的影响。结果:试验组用药后促宫颈成熟效果和阴道分娩率均优于对照组;临产时间及产程短于对照组;胎心异常、羊水污染发生率、产后出血量及2组新生儿结局差异无显著性。结论:普贝生促宫颈成熟较催产素更安全、有效、方便,引产成功率高,可明显降低剖宫产率。
Objective: To investigate the superiority of dinoprostone suppository in the treatment of late pregnancy associated with oligohydramnios. Methods: 68 cases of late pregnancy with oligohydramnios, cervical Bishop score average 4.8 points, no vaginal birth contraindications single head piglets were randomly divided into two groups: 34 cases (cervical Bishop score <6 points) will promise Prostatone suppository was placed in the posterior vaginal fornix as the experimental group, 34 patients (cervical Bishop score> 6) were given intravenous oxytocin as control group. The Bishop Grading, medication to labor and childbirth time, fetal heart rate, amniotic fluid changes, mode of delivery, success rate, postpartum hemorrhage, fetal and neonatal impact. Results: The cervical ripening effect and vaginal delivery rate of the experimental group were better than that of the control group; the duration of labor and labor duration were shorter than that of the control group; there was no significant difference in the incidence of fetal heart failure, amniotic fluid contamination, postpartum hemorrhage and neonatal outcomes between the two groups Sex. Conclusion: Przewalski ’s cervical ripening is more safe, effective and convenient than cervical oxytocin. The success rate of induction of labor is high, which can obviously reduce the rate of cesarean section.