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目的 :对比分析人工破膜+小剂量米索、催产素点滴引产、人工破膜联合催产素三种方法对足月羊水偏少孕妇的引产效果。方法 :对本院妇产科2011年7月~2014年12月227例足月羊水偏少孕妇的引产情况进行总结分析,其中人工破膜+催产素点滴69例(A组)、催产素点滴88例(B组)、人工破膜+小剂量米索70例(C组),对比三组的引产效果及未产结局差异。结果 :进行引产处理后三组产妇的宫颈Bishop评分均逐渐提高,在引产处理后第4、8、12h C组的Bishop评分评分显著的高于A、B组;在引产处理后第4、8、12h A组的Bishop评分评分显著的高于B组。C组的临产时间、总产程显著的低于A、B组;A组的临产时间、总产程显著的低于B组。C组的剖宫产率显著的低于A、B组;C两组的第1min 5min Apgar评分显著的高于B组。结论 :人工破膜+小剂量米索对足月羊水偏少孕妇的引产效果安全有效。
OBJECTIVE: To comparatively analyze the effects of three methods of artificial rupture of membrane, small dose of misoprostol, oxytocin drip induction and artificial rupture of membrane combined with oxytocin on pregnant women with term oligohydramnios. Methods: In our hospital, from July 2011 to December 2014 227 cases of partial amniotic fluid less pregnant women induced abortion were analyzed, including artificial rupture of membrane + oxytocin 69 cases (group A), oxytocin drip Eighty-eight patients (group B), artificial rupture of membranes and 70 patients with low-dose misoprostol (group C) were compared between the three groups. Results: The Bishop scores of cervical in three groups of women increased gradually after induction. The Bishop scores of C group at 4, 8, and 12 hours after induced labor were significantly higher than those in groups A and B. In the 4th, Bishop score of 12h group A was significantly higher than that of B group. C group of labor time, total labor was significantly lower than the A, B group; A group of labor time, total labor was significantly lower than the B group. The cesarean section rate in group C was significantly lower than that in group A and B. The Apgar scores at 1 minute and 5 minutes in group C were significantly higher than those in group B. Conclusion: Artificial rupture of membrane + small dose of misoprostol on pregnant women less full term amniotic fluid is safe and effective.