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目的对比分析瘢痕子宫中期妊娠引产分别采用米非司酮联合利凡诺以及单独使用利凡诺的临床效果。方法选取商丘市妇幼保健院收治的60例中期妊娠引产孕妇,根据引产方式的不同随机分为观察组30例,采取米非司酮联合利凡诺方式,对照组30例,采取单独使用利凡诺方式。对比两组患者各项指标的差异。结果结果观察组引产成功率显著高于对照组,且总产程持续时间显著少于对照组(P<0.05)。观察组术中疼痛程度、产后24 h出血量均显著低于对照组(P<0.05),观察组未见有宫颈撕裂及不良反应生。结论米非司酮配伍利凡诺具有引产效果好、产程短、简单安全、产后出血量少、并发症发生率低的优点,值得临床推广。
Objective To compare and analyze the clinical effect of induction of labor induced by mid-term pregnancy of scar uterus with mifepristone combined with rivanol and rivanol alone. Methods Sixty midwifetal pregnant women induced by Shangqiu Maternal and Child Health Care Hospital were selected and randomly divided into observation group (n = 30), mifepristone and rivanol (n = 30), and control group (n = 30) Connaught way. The differences between the two groups were compared. Results The success rate of induction of labor in observation group was significantly higher than that of control group, and the duration of total labor was significantly less than that of control group (P <0.05). The degree of intraoperative pain in the observation group, the amount of hemorrhage 24 h postpartum were significantly lower than the control group (P <0.05), the observation group no cervical tear and adverse reactions. Conclusion mifepristone compatibility rivanol has the advantages of good induction of labor, short labor, simple and safe, less postpartum hemorrhage, low complication rate, which is worthy of clinical promotion.