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目的:探讨羊膜腔内注射利凡诺用于中期妊娠引产的效果。方法:回顾性分析2012年9月—2015年9月在我院自愿要求引产,并采用羊膜腔内注射利凡诺引产的84例孕妇临床资料。结果:1引产成功率。84例患者中成功引产81例,成功率为96.43%,另3例因宫缩差加用了催产素。2用药至胎儿娩出时间。孕16-20周(42.5±3.6)h;孕21-26周(38.2±2.5)h。3产程及产后出血量。妊娠19~26周者全部行人工破膜,产程平均为(7.1±0.6)h,产后出血量平均为92ml;妊娠16~18周者全部自然破膜,产程平均为(9.2±0.5)h,平均出血量为114ml。4孕次与产后出血量。孕1~3次平均出血量95ml,孕4次平均出血量130ml。结论:羊膜腔内注射利凡诺用于中期妊娠引产效果确切,可在临床推广使用。
Objective: To investigate the effect of amniotic injection of rivanol in induction of labor during the second trimester pregnancy. Methods: The clinical data of 84 pregnant women who voluntarily requested induction of labor in our hospital from September 2012 to September 2015 were retrospectively analyzed. Results: 1 success rate of induced labor. Of the 84 patients, 81 successfully induced labor, with a success rate of 96.43% and the other 3 patients treated with oxytocin plus contractions. 2 medication to the fetus delivery time. Pregnancy 16-20 weeks (42.5 ± 3.6) h; Pregnancy 21-26 weeks (38.2 ± 2.5) h. 3 labor and postpartum hemorrhage. The average duration of labor was (7.1 ± 0.6) h and the average amount of postpartum hemorrhage was 92ml. All the patients with spontaneous rupture of membranes during the first 16 to 18 weeks of gestation had an average labor duration of (9.2 ± 0.5) h, The average amount of bleeding was 114ml. 4 pregnancy times and postpartum hemorrhage. Pregnancy 1 to 3 times the average amount of bleeding 95ml, pregnant 4 times the average amount of bleeding 130ml. Conclusion: Intra-amniotic injection of rivanol is effective in mid-term pregnancy induced labor and can be used clinically.