瘢痕子宫妊娠的中晚期引产方式及综合干预  

Modes of Labor Induction and Comprehensive Intervention in Scar Uterine in Mid-to-late Pregnancy

作　　者：林雪凤 李芬芳[1] 王武兰[1] 刘秀武[1] LIN Xuefeng;LI Fenfang;WANG Wulan;LIU Xiuwu(Delivery Room,Fujian Maternal and Child Health Hospital,Fuzhou Fujian 350000,China)

机构地区：[1]福建省妇幼保健院产房,福建福州350000

出　　处：《中国卫生标准管理》2020年第22期98-101,共4页China Health Standard Management

摘　　要：目的探究将不同引产方式进行应用后对剖宫产瘢痕子宫中晚期妊娠患者的影响。方法选择2018年6月—2019年6月剖宫产术后行引产处理的瘢痕子宫中晚期妊娠患者100例,根据就诊顺序编号对患者进行分组,分为试验组和对照组。其中给予腹羊膜腔行依沙吖啶注射,并进行米非司酮口服与综合干预治疗的为试验组,给予单纯依沙吖啶羊膜腔注入治疗的为对照组,对两组患者的治疗效果进行比较。结果试验组患者在胎盘排出至宫缩时间和宫缩至用药时间上均短于对照组,宫颈成熟评分高于对照组,试验组患者和对照组患者的引产成功率分别为94.00%和76.00%,试验组的引产成功率更高,两组患者的不良反应主要包括:软产道损伤、产后出血、腹泻、胎盘胎膜残留、寒颤发热和恶心呕吐,试验组患者的并发症发生率为10.00%,对照组患者的并发症发生率为34.00%,各项数据对比差异具有统计学意义(P<0.05)。结论将依沙吖啶和米非司酮联合使用并综合干预治疗的引产方式进行应用,可实现对瘢痕子宫中晚期妊娠的终止,具有显著的引产效果,在临床中的应用价值较为显著。Objective To explore the effect of applying different methods of labor induction on patients with mid-to-late pregnancy in scarring uterus of cesarean section.Methods The research work was carried out from June 2018 to June 2019.The researchers selected 100 patients for the scarred uterine mid-to-late pregnancy patients undergoing induction of labor after cesarean section,and grouped the patients according to the order of the visits.They were divided into experimental group and control group.Among them,the experimental group was given esacridine injection of peritoneal amniotic cavity and treated with oral mifepristone and comprehensive intervention,and the control group was given with esacridine injection into the control group.Compare.Results The patients in the experimental group were shorter than the control group in the time from the placenta to the contraction and the contraction to the medication,and the cervical maturity score was higher than the control group.The successful induction rates of the patients in the experimental group and the control group were 94.00%and 76.00%,the induction rate of labor induction in the experimental group is higher.The adverse reactions of the two groups of patients mainly include:soft birth canal injury,postpartum hemorrhage,diarrhea,placenta and membranous residue,chills,fever and nausea and vomiting.The incidence of complications in the experimental group is 10.00%,the complication rate of patients in the control group was 34.00%,and there was a significant difference in the comparison of various data(P<0.05).Conclusion The combined use of esacridine and mifepristone and the comprehensive intervention treatment of labor induction can achieve the termination of mid-to-late pregnancy in scar uterus.It has a significant labor induction effect and has a significant clinical value.

关 键 词：剖宫产 瘢痕子宫 中晚期 引产方式 产后出血 干预 

分 类 号：R714[医药卫生—妇产科学]