CAJ | 학술논문

目的：研究与分析缩宫素用于晚期妊娠引产失败的影响因素。方法选取本院90例引产成功产妇为研究组，40例引产失败产妇为对照组。收集两组产妇临床一般资料和引产资料等，并采取多因素Logistic回归方法进行分析与研究。结果研究发现，产妇孕次多、既往药物流产史、用药至宫缩规律时间长、用药至用药结束时间长、用药至分娩时间长、新生儿体重大等为引产失败单因素（P＜0.05）。而孕次多、用药时间至宫缩规律时间长、新生儿体重大为引产失败多因素（P＜0.05）。结论影响缩宫素用于晚期妊娠引产失败的主要因素为孕次多、用药时间至宫缩规律时间长、新生儿体重大。因此，需加强对产妇妊娠情况的评估，并提高医务人员操作熟练性，保障引产顺利进行，减少引产失败情况发生。
목적：연구여분석축궁소용우만기임신인산실패적영향인소。방법선취본원90례인산성공산부위연구조，40례인산실패산부위대조조。수집량조산부림상일반자료화인산자료등，병채취다인소Logistic회귀방법진행분석여연구。결과연구발현，산부잉차다、기왕약물유산사、용약지궁축규률시간장、용약지용약결속시간장、용약지분면시간장、신생인체중대등위인산실패단인소（P＜0.05）。이잉차다、용약시간지궁축규률시간장、신생인체중대위인산실패다인소（P＜0.05）。결론영향축궁소용우만기임신인산실패적주요인소위잉차다、용약시간지궁축규률시간장、신생인체중대。인차，수가강대산부임신정황적평고，병제고의무인원조작숙련성，보장인산순리진행，감소인산실패정황발생。
Objective Researched and analysed the influence factors of oxytocin used in late pregnancy induced labor failure. Method Adopted the method of control study and analysis, including 90 cases of induced labor winners for the team;40 cases of induced labor losers as the control group. Two groups of patients with clinical general information collection and induced labor data, etc., and adopted the method of multi-factor Logistic regression analysis and research. Result The study found that patients with pregnant time and the history of medical abortion and the preparation to the contractions are long, long to the end of the medication, medication to the delivery time was long, and the failure of single factor for preterm delivery with big newborn body weight (P<0.05). While pregnant time and long duration to the law of contractions and neonatal weight induced labor failure factors more greatly (P < 0.05). Conclusion Oxytocin used in late gestation induced labor are the main factors causing the failure of pregnant time and duration to the contractions more regular time and neonatal weight. Therefore, to evaluate patients need to be improved, and improve the medical personnel operation skill, ensure the smooth undergoing of induced labor reduce induced labor failure happens.