足月妊娠缩宫素引产对羊水性状的影响  

The traits of the amniotic fluid after induced labor by oxytocin in full-term pregnancy

作　　者：李婵娟[1] 赵玉华[1] 

机构地区：[1]滁州市第一人民医院,安徽滁州239000

出　　处：《基层医学论坛》2015年第28期3901-3903,共3页The Medical Forum

摘　　要：目的评价足月妊娠用缩宫素引产对羊水性状的影响,指导缩宫素引产的临床应用。方法将足月妊娠采用缩宫素引产的孕妇123例分为3组,缩宫素引产48 h内分娩(Ⅰ组),48 h^72 h内分娩(Ⅱ组),>72 h分娩(Ⅲ组),观察其羊水性状。结果Ⅰ组,羊水性状为:清,Ⅰ~Ⅱ度,Ⅲ度,分别为60.0%,29.3%,9.8%;Ⅱ组为45.0%,37.5%,17.5%,Ⅲ组为23.8%,28.6%,47.6%。结论足月妊娠采用缩宫素引产>72 h分娩比72 h内分娩的孕妇,其羊水明显污染。对于缩宫素引产>72 h分娩的孕妇要加强监护,或改用其他方式终止妊娠。Objective To evaluate influences of induced labor by oxytocin in the full-term pregnancy on the traits of the amniotic fluid,and guide the clinical application of induced labor by oxytocin. Methods To observe 123 pregnant women who were induced labor by oxytocin in full-term pregnancy and divided into three groups：delivery within 48 hours because of induced labor by oxytocin（groupⅠ）,delivery within 48-72 hours（groupⅡ）,longer than 72 hours of birth（group Ⅲ）.And observe properties of the amniotic fluid in each group.Results Amniotic fluid properties in groupⅠwere as follows：clear,Ⅰ-Ⅱdegree and Ⅲdegree which were 60.0%,29.3% and 9.8% respectively;that in groupⅡwere 45.0%,45.0%,and 45.0% respectively;and that in group Ⅲ were 23.8%,28.6% and 47.6% respectively.Conclusion The amniotic fluid of women after induced labor by oxytocin in full-term pregnancy is contaminated more obviously in delivery longer than 72 hours than that within 72 hours. Pregnant women after induced labor by oxytocin longer than 72 hours should be strengthened to monitor,or switch to other methods.

关 键 词：足月妊娠 缩宫素 引产 羊水性状 影响 

分 类 号：R719.3[医药卫生—妇产科学]