米索前列醇用于足月妊娠引产效果观察与护理  

Observation and Nursing Care of Misoprostol Suspension Per Os for Inducing Term Labor

作　　者：方向阳[1] 庄桂霞[1] 

机构地区：[1]中国福利会国际和平妇幼保健院,200030

出　　处：《上海护理》2001年第2期16-18,共3页Shanghai Nursing

摘　　要：摘要:目的 探讨米索前列醇(简称米索)混悬液用于足月妊娠引产的有效性、安全性及相应护理措施。方法 将有引产指征的足月妊娠妇女140例,随机分为两组。A组:70例口服米索混悬液(200μg/200ml);B组:70例静脉滴注催产素,作为对照。结果 两组引产成功率相似,分别为:88.57％和82.86％(P>0.25)。但A组从开始用药至临产的平均时间(432.45±247.91)min和用药至胎儿娩出平均时间(717.51±584.39)min较B组的(563.84±407.37)min和(946.60±542.99)min明显缩短(P<0.05)。宫颈评分≤5分的产妇A组引产成功率(84.61％)高于B组(33.33％),P<0.05。结论 口服米索混悬液用于足月妊娠引产是一种安全、有效、方便的引产方法。Objective To study the efficacy, safety and relevant nursing of taking misoprostol suspension per os for inducing term, labor. Method 140 women at term with indications of labor induction were randomized into two groups. Group A 70 women received misoprostol suspension (200 fig/200 ml) 20 ml. Group B 70 women received intravenous, oxitocin as controls. Results The success rate of labor induction of group A (88.57%) was similar to that of group B (82. 86%, P>0. 05). The average interval from start of induction to onset of labor and the average interval from start of induction to childbirth of group A (432. 45 + 247. 91, 717. 51+584. 39) were significantly shorter than those of group B (563. 84 + 407. 37, 946. 60 + 542. 99, P<0. 05). When the cervix was unfavorable (Bishop Score<5), the success rate of labor induction in group A (84. 61%) was higher than that in group B (33.33%, P<0. 05). Conclusion It is safe, effective and convenient to induce term labor with misoprostol suspension and is regard as a preferred method.

关 键 词：米索前列醇 足月妊娠 引产 护理 

分 类 号：R473.71[医药卫生—护理学]