三种足月妊娠引产方法的临床观察  

The Clinical Observation to The Three Induction Methods of Term Pregnancy

作　　者：张承敏[1] 

机构地区：[1]呼和浩特铁路局中心医院妇产科,内蒙古呼和浩特010010

出　　处：《内蒙古医学杂志》2003年第4期302-304,共3页Inner Mongolia Medical Journal

摘　　要：目的 :探讨应用米索前列醇、蓖麻油煎鸡蛋、低浓度催产素用于足月妊娠引产的有效性和安全性。方法 :将 90例有引产指征的孕足月单胎头位、无宫缩的孕产妇随机分为 3组 :A组 (30例 )米索前列醇组 :将米索前列醇 2 5 μg置入阴道后穹窿 ,每 3h置药 1次至正式临产 ,总量不超过 2 0 0 μg ;B组 (30例 ) :口服蓖麻油煎鸡蛋 ;C组 (30例 ) :低浓度催产素静滴引产。结果 :3组引产有效率分别为 :96 6 7%、90 %、73 33%。A、B组引产有效率明显高于C组 (P <0 0 1) ,C组剖宫产率及总产程时间均明显高于A、B组 (P<0 0 5 ) ,产时出血量、新生儿窒息率及新生儿出生体重均无显著性差异 (P >0 0 5 )。结论 :小剂量重复阴道后穹窿置米索前列醇及口服蓖麻油煎鸡蛋用于足月妊娠引产是一种安全、方便、有效的方法。Objective:To study the clinical efficacy and safety of term pregnancy induction by Misoprostol,fried egg in castor oil and low density of oxytocin.Methods:90 pregnant women without uterine constriction were randomly devided into 3 groups:group A(n=30)or group Misoprostol:Putting 25μg Misoprostol into vagina q 3h until Spontaneous labor.The total of Misoprostol is less than 200μg;group B( n=30) :taking orally the fried egg in castor oil;group C( n=30) :intravenous infusing low density of oxytocin.Results:The effective rates of induction were 96.67%,90%,73.33% respectively.The rates in group A and B were Significantly higher than that in group C(P<0.01).The rate of cesarean section and intrapertum time were significantly higher than that in group A and B(P<0.05),There was no significant difference in bleeding volume during delivery,the frequency of fetal asphyxia and fetal birth weight(P>0.05).Conclusion:Putting a less dose of Misoprostol into vagina repeatedly and taking the fried egg in castor oil are safe,convenient and effective methods in induction of term pregnancy.

关 键 词：足月妊娠 引产 临床观察 催产素 米索前列醇 蓖麻油煎鸡蛋 

分 类 号：R719.3[医药卫生—妇产科学]