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目的:探讨米索前列醇在足月妊娠引产中的作用。方法:选择正常单胎头位足月妊娠(38～42周)具有引产指征,而无禁忌症100例,将米索前列醇50μg置于阴道后穹隆,抬高臀部30分钟,并于用药前后观察宫颈长度及宫颈评分,每3小时给药1次,观察引产效果。结果:阴道后穹隆置米索前列醇后,宫颈缩短2～3cm,Bishop评分提高4～5分。24小时引产成功率为60%,有效率达98%。与对照比较,差异均有非常显著性。结论:小剂量米索前列醇阴道给药用于足月妊娠引产,是一种使用方便,安全有效,价格便宜的引产方法,但需严密观察。
Objective: To investigate the role of misoprostol in induction of labor during term pregnancy. Methods: Select normal single-head gestational term pregnancy (38-42 weeks) with indications for induction of labor, and no contraindications in 100 cases, misoprostol 50μg placed in the vaginal vault, raising the buttocks for 30 minutes, and medication Before and after observation of cervical length and cervical score, administered once every 3 hours to observe the effect of induction of labor. Results: After vaginal posterior vaginal misoprostol, cervical shortened 2 ~ 3cm, Bishop score increased 4 to 5 points. 24-hour induction of labor success rate of 60%, the effective rate of 98%. Compared with the control, the differences were very significant. Conclusion: Small doses of misoprostol for vaginal delivery for term pregnancy induction is a safe, effective and inexpensive induction of labor, but close observation is needed.