催产素引产失败及分娩结局的影响因素分析  

Analysis of Influencing Factors of Oxytocin Induced Labor Failure and Delivery Outcome

作　　者：余怡红 钟娟 吴南燕 YU Yi-hong;ZHONG Juan;WU Nan-yan(Department of Obstetrics and Gynecology,Guangxin District People's Hospital,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区人民医院妇产科,江西上饶334100

出　　处：《医学信息》2022年第21期50-53,共4页Journal of Medical Information

摘　　要：目的 统计并分析催产素引产失败及分娩结局的影响因素。方法 选取2020年1月-2021年8月于上饶市广信区人民医院行催产素引产的86例孕产妇,其中引产成功55例,引产失败31例,最终阴道分娩60例,剖宫产28例,结合孕产妇资料,分析催产素引产失败及分娩结局的影响因素。结果 引产失败孕妇与引产成功孕妇的孕次、既往引产史、催产素点滴引产时长、羊水过少及巨大儿比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,催产素点滴引产时长、羊水过少、巨大儿均是导致引产失败的独立危险因素(P<0.05);阴道分娩孕妇与剖宫产孕妇胎监异常、胎膜早破、相对头盆不称、产程延长、胎儿宫内窘迫、引产失败、潜伏期延长、孕期体重增长过快及产前焦虑情况比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,相对头盆不称、胎儿宫内窘迫、引产失败、潜伏期延长均是导致剖宫产结局的独立危险因素(P<0.05)。结论 催产素点滴引产时长、羊水过少、巨大儿是导致引产失败的危险因素,而相对头盆不称、胎儿宫内窘迫、引产失败、潜伏期延长则是引发剖宫产结局的危险因素。Objective To analyze the influencing factors of oxytocin induced labor failure and delivery outcome.Methods From January 2020 to August 2021, 86 pregnant women who underwent oxytocin induction in the Guangxin District People’s Hospital, Shangrao City were selected,including 55 cases of successful induction of labor, 31 cases of failed induction of labor, 60 cases of vaginal delivery and 28 cases of cesarean section.Combined with maternal data, the influencing factors of oxytocin induction failure and delivery outcome were analyzed. Results There were statistically significant differences in gravidity, previous history of induced labor, duration of induced labor with oxytocin, oligohydramnios and macrosomia between pregnant women with failed induced labor and those with successful induced labor( P <0.05). Multivariate Logistic regression analysis showed that duration of oxytocin infusion, polyhydramnios and macrosomia were independent risk factors for induced labor failure( P<0.05).There were significant differences in abnormal fetal monitoring, premature rupture of membranes, relative cephalopelvic disproportion, prolonged labor,fetal distress, failure of induced labor, prolonged latency, excessive weight gain during pregnancy and prenatal anxiety between pregnant women with vaginal delivery and cesarean section(P<0.05). Multivariate Logistic regression analysis showed that relative cephalopelvic disproportion, fetal distress,induced labor failure, prolonged latency were independent risk factors for cesarean section outcome( P <0.05).Conclusion Duration of oxytocin infusion, oligohydramnios and macrosomia are risk factors for failure of induction of labor, while relative cephalopelvic disproportion, fetal distress,failure of induction of labor and prolonged latency are risk factors for cesarean section outcome.

关 键 词：催产素引产 引产失败 分娩结局 剖宫产 胎儿宫内窘迫 

分 类 号：R714.46[医药卫生—妇产科学]