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1目的 比较各种常用引产方法的利弊 ,探讨最佳引产方法。 2方法 对 5 85例晚期孕妇所采用的 5种引产方法进行回顾性分析 ,比较各种方法的引产成功率。 3结果 各引产方法中以蓖麻油引产餐加人工破膜及应用米索前列醇的成功率最高 (85 .48% ) ;宫颈 Bishop评分≤ 6分的病人中 ,亦以蓖麻油引产餐加人工破膜及应用米索前列醇组成功率最高 (6 7.86 % ) ;引产成功病人中 ,各组的分娩方式和平均产程无差异 ,米索前列醇组宫缩过强的发生率明显高于缩宫素组 (χ2 =11.5 84,P<0 .0 0 1)。 4结论 蓖麻油引产餐加人工破膜及应用米索前列醇的引产成功率最高 ;对于宫颈未成熟病人 ,采取适当的软化宫颈措施 ,将有效地提高引产成功率。
Objective To compare the pros and cons of various commonly used abortion methods and to explore the best abortion method. 2 Methods A retrospective analysis of 5 kinds of abortion methods used by 5 85 late pregnant women was conducted to compare the success rates of induction of labor by various methods. 3 results of each method of induction of labor to castor oil induced labor with artificial rupture of membranes and the highest success rate of misoprostol (85.48%); cervical Bishop score ≤ 6 points in patients, but also with castor oil abortion meal plus labor The success rate of rupture of membranes and application of misoprostol was the highest (6 7.86%). Among the successful abortion patients, there was no difference in the mode of delivery and average labor among all the groups. The incidence of over-contractions in misoprostol group was significantly higher than that of contractions Group (χ2 = 11.584, P <0.001). 4 Conclusion Castration of labor induced labor with artificial rupture of membranes and misoprostol induction of labor the highest success rate; cervical immature patients, to take appropriate measures to soften the cervix, will effectively improve the success rate of induction of labor.