论文部分内容阅读
目的:分析米非司酮联合前列醇在中孕引产中的效果。方法:取本院产科于2008年4月～2011年4月间门诊及住院收治的要求引产的中孕产妇64名,随机分为观察组和治疗组各32名。对照组使用腰穿针于腹膜腔注射依沙丫啶,观察组于口服米非司酮片,阴道后穹窿放置米索前列醇,观察两组的引产效果。结果:使用米非司酮联合前列醇的观察组32人中,完全流产21人,占65.6%,不全流产8人,占25%,有效29人,占90.6%,失败3人,占9.4%,平均引产时间为6.7±2.5小时;使用传统方法的对照组32人中,完全流产14人,占43.7%,不全流产7人,占21.8%,有效21人,占65.6%,失败6人,占34.4%,平均引产时间为12.2±4.8小时。观察组与对照组在引产有效率和引产平均时间上均有统计学差异,P<0.05。结论:使用米非司酮联合前列醇应用于中孕引产,相较于传统的引产方式有较好的成功率,而且缩短的手术时间,增加引产安全,保障孕妇生命,是一种较好的中孕引产方式,值得在临床广泛推广。
Objective: To analyze the effect of mifepristone combined with prostaglandin in the induction of labor during pregnancy. Methods: Sixty-four middle-term pregnant women, who were admitted to our hospital from April 2008 to April 2011 and were admitted to hospital, were randomly divided into observation group (32 cases) and treatment group (32 cases). The control group was treated with lumbar puncture needle in the peritoneal cavity, and the observation group was given mifepristone tablets and misoprostol in vaginal fornices. The induction effect of the two groups was observed. Results: Of the 32 patients who used mifepristone combined with prostaglandin, 21 were completely aborted, accounting for 65.6%, 8 were incomplete abortion, accounting for 25%, 29 were effective, accounting for 90.6%, 3 were failed, accounting for 9.4% , The average time of induction of labor was 6.7 ± 2.5 hours; in the control group with traditional method, 14 were completely aborted (43.7%), 7 were incomplete abortion (21.8%), 21 were effective, accounting for 65.6% Accounting for 34.4%, the average induction of labor time was 12.2 ± 4.8 hours. The observation group and the control group in the induction of labor efficiency and the average time of induction of labor were statistically significant, P <0.05. Conclusion: The use of mifepristone combined with prostaglandin in the induction of labor in the second trimester has a better success rate than the traditional induction of labor, and shorten the operation time, increase the safety of induced labor and protect the life of pregnant women, is a better Maternal induction of labor, it is worth widely in the clinic.