三种中期妊娠引产方法的探讨  

Probe into Three Methods of Induction of Labor in the Midtrimester Pregnancy

作　　者：邓元琪[1] 赖爱鸾[1] 金巧凤[1] 

机构地区：[1]首都医科大学附属复兴医院妇科,北京100038

出　　处：《中国计划生育学杂志》2007年第9期551-553,共3页Chinese Journal of Family Planning

摘　　要：目的：探讨依沙吖啶羊膜腔注射引产、冰水水囊引产和米非司酮配伍米索前列醇引产的临床效果。方法：本院1995年1月-2006年12月收治妊娠引产者378例，总结分析孕13—16周和孕17—27周妇女分别采用依沙吖啶羊膜腔注射引产、冰水水囊引产和米非司酮配伍米索前列醇药物引产的临床效果。结果：在孕13—16周者中，药物引产在引产时间上明显优于其它两种方法（P〈0．05）；产时出血量、胎盘胎膜残留差异无显著性意义（P〉0．05）。孕17—27周者，药物引产在引产时间上明显优于其它将两种方法（P〈0．05），产时出血量水囊引产组优于其它两种方法（P〈0．05），胎盘胎膜残留差异无显著性意义（P〉0．05）。结论：药物引产时间短；水囊引产用于孕17—27周者产时出血量最少，适用于肝肾功能受损者。Objective ： To probe into the clinical effects of three methods of induction of labor. Methods ： 378 pregnant women being at 13 - 16 weeks gestation and 17 -27weeks gestation who required induction of labor from January 1995 to December 2006 were randomly divided into three groups which were group 1 （ intra - amniotic injecton of ethacridine ）, group 2 （ icy water bag） and group 3（ mefepristone with misoprostol）. Results： In the cases of 13 - 16weeks gestation, the time of labor induction by drug was obviously shorter than the other two methods （P 〈 0.05 ） , however, intrapartum hemorrhage and retained placental tissue showed no significant difference（ P 〉 0.05 ）. In the cases of 17 - 27weeks gestation, the time of labor induction by drug was obviously shorter than the other two methods （ P 〈 0.05） , intrapartum hemorrhage in the icy water bag group was significantly smaller in amount than the other two methods （ P 〈 0.05 ） , and retained placental tissue showed no significant difference（P 〉 0.05 ）. Conclusion： It shows shorter time for the labor induction by drug and smallest in intrapartum hemorrhage amount for the 17 -27weeks gestation which fits to the condition of liver or renal function lesion.

关 键 词：引产 依沙吖啶 水囊 米非司酮 米索前列醇 

分 类 号：R719.3[医药卫生—妇产科学]