人工破膜联合缩宫素静脉滴注的催产效果观察

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摘要目的探讨计划分娩催产方法中应用人工破膜联合缩宫素静滴催产的效果。方法选取2015年6月～2017年1月我院收治的孕41周未临产、宫颈Bishop评分为5～7分、胎儿估重适中头位的孕妇200例作为研究对象，采用随机数字表法将其分为两组，每组各100例。对照组孕妇单独采用缩宫素静滴催产，观察组孕妇采用人工破膜联合催产素静滴催产。比较两组孕妇的2、4、12及24 h临产出现率、引产失败率、第一产程时间、第二产程时间、新生儿Apgar评分、新生儿感染数、及产后24 h出血量等。结果观察组孕妇2、4、12、24 h的临产出现率分别为38%、82%、94%、97%，均高于对照组的 22%、46%、67%、90%，观察组的引产失败率（3%）低于对照组（10%），差异有统计学意义（P＜0.05）。观察组孕妇的第一产程时间明显短于对照组，差异有统计学意义（P＜0.05）。两组孕妇的第二产程时间、新生儿Apgar评分、新生儿感染率、产后24 h出血量比较，差异无统计学意义（P＞0.05）。两组孕妇的剖宫产率比较，差异无统计学意义（P＞0.05）。结论人工破膜联合催产素静滴催产引产效果优于单独催产素静滴催产，可缩短产程时间，提高计划分娩成功率，同时并未增加剖宫产率及新生儿感染率。

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	李刚

关键词 ：人工破膜, 缩宫素, 综合催产, 计划分娩, 妊娠结局

Abstract：ObjectiveTo investigate the spawning effect of artificial rupture of membranes combined with intravenous drip of Oxytocin in the delivery and spawning methods.MethodsFrom June 2015 to January 2017,200 pregnant women with 41-week pregnancy,non-labor,cervical Bishop score of 5-7 points,appropriate estimated fetal weight and head delivery who treated in our hospital were selected as subjects.They were randomly divided into two groups,100 cases in each group.In the control group,the pregnant women were given intravenous drip of Oxytocin for spawning alone,and the pregnant women in the observation group were given artificial rupture of membranes combined with intravenous drip of Oxytocin for spawning.The labor occurrence rate of 2,4,12 and 24 h,induced labor failure rate,first production time,second production time,neonatal Apgar score,neonatal infection number and postpartum 24 h hemorrhagic volume were compared between the two groups.ResultsThe labor occurrence rate of 2,4,12 and 24 h of pregnant women in the observation group was 38%,82%,94%,82%,which were higher than those in the control group (22%,46%,67%,46%),and the induced labor failure rate of pregnant women in the observation group(3%)was lower than that in the control group(10%),the differences were statistically significant(P＜0.05).The first production time of the pregnant women was significantly shorter than that in the control group,and the difference was statistically significant(P＜0.05).The second production time,neonatal Apgar score,neonatal infection number and postpartum 24 h hemorrhagic volume of the two groups were compared,and the differences were not statistically significant(P＞0.05).The cesarean section rate of pregnant women in the two groups was compared,and the difference was not statistically significant(P＞0.05).ConclusionThe spawning effect of artificial rupture of membranes combined with Oxytocin is better than that of intravenous drip of Oxytocin alone,which can shorten the duration of labor,improve the success rate of planned delivery,while the rate of cesarean section and neonatal infection rate are not increased.

Key words： Artificial rupture of membranes Oxytocin Comprehensive spawning Planned delivery Pregnancy outcome

引用本文:

李刚. 人工破膜联合缩宫素静脉滴注的催产效果观察[J]. 中国当代医药, 2017, 24(34): 135-138.
LI Gang. Observation on the spawning effect of artificial rupture of membranes combined with intravenous drip of Oxytocin. 中国当代医药, 2017, 24(34): 135-138.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I34/135

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