CAJ | 학술논문

目的观察普贝生用于足月妊娠促宫颈成熟和引产的临床效果、安全性,探讨其护理措施.方法将100例孕周37～41w无阴道试产禁忌症、单胎、头位的足月待产妇阴道内放置普贝生1枚,用药12 h后,观察宫颈Bishop评分,宫缩发动时间,强直宫缩,分娩方式.新生儿及羊水情况.结果 ①引产结果:宫颈Bishop评分用药后12 h内提高≥2分者为86例,有效率86%;宫颈评分提高≥3分者为80例,显效率80%:引产成功75例.②阴道分娩70例,占70%;剖宫产30例,占30%.③新生儿及羊水情况:新生儿无一例发生窒息,评分均为良好;羊水Ⅱ度污染4例,其余均为羊水清.结论普贝生可安全、有效、方便地用于促宫颈成熟和引产.在普贝生引产过程中应严密观察宫缩及产程进展,严格做好交接班,掌握好取药的适宜时间.
목적 관찰보패생용우족월임신촉궁경성숙화인산적림상효과、안전성,탐토기호리조시.방법 장100례잉주37～41w무음도시산금기증、단태、두위적족월대산부음도내방치보패생1매,용약12 h후,관찰궁경Bishop평분,궁축발동시간,강직궁축,분면방식.신생인급양수정황.결과 ①인산결과:궁경Bishop평분용약후12 h내제고≥2분자위86례,유효솔86%;궁경평분제고≥3분자위80례,현효솔80%:인산성공75례.②음도분면70례,점70%;부궁산30례,점30%.③신생인급양수정황:신생인무일례발생질식,평분균위량호;양수Ⅱ도오염4례,기여균위양수청.결론 보패생가안전、유효、방편지용우촉궁경성숙화인산.재보패생인산과정중응엄밀관찰궁축급산정진전,엄격주호교접반,장악호취약적괄의시간.
Objective To observe the effectiveness and safety when using Propess to promote cervical maturity and induced delivery in full term pregnancies,as well as discuss the nusing.Methods 100 case of 37～41 w single fetal first pregnancies were observed,which vagingl delivery had been prohibited in each case due to unfavorable fetal head position.12 hours after applylng a minimal mnount of Propess to the vaginal posterior fomix,evaluation of cervgx using Bishop method,rind uterine contractions,time of onset of uterine contractions,time of sults:There were 86 cases of cervical Bishop score within 12h after the arug added≥2,which accounted for 86%and 80 cases of cervical Bishop score added≥3,which accounted for 80%.75 cases of successful induction Ⅱamniotic fluid contamination in 4 cases.all the rest of amniotic fluid clearane.Conclusions Usage of Propess is safe,effective and convenient for maturing cervix and can induce delivery,thereby effectively reduce cesarean section rates.Clinical evaluation of propess in the process of induction and the uterine contraction stage of labor should be closely observed.At the same time,the medicine appropriate time should be mastered well.