基层医学论坛
基層醫學論罈
기층의학론단
The Medical Forum
2015年
28期
3901-3903
,共3页
足月妊娠%缩宫素%引产%羊水性状%影响
足月妊娠%縮宮素%引產%羊水性狀%影響
족월임신%축궁소%인산%양수성상%영향
Full-term pregnancy%Oxytocin%Induced labor%Amniotic fluid%Influence
目的：评价足月妊娠用缩宫素引产对羊水性状的影响，指导缩宫素引产的临床应用。方法将足月妊娠采用缩宫素引产的孕妇123例分为3组，缩宫素引产48 h内分娩（Ⅰ组），48 h~72 h内分娩（Ⅱ组），>72 h分娩（Ⅲ组），观察其羊水性状。结果Ⅰ组，羊水性状为：清，Ⅰ~Ⅱ度，Ⅲ度，分别为60.0%，29.3%，9.8%；Ⅱ组为45.0%，37.5%，17.5%，Ⅲ组为23.8%，28.6%，47.6%。结论足月妊娠采用缩宫素引产>72 h分娩比72 h内分娩的孕妇，其羊水明显污染。对于缩宫素引产>72 h分娩的孕妇要加强监护，或改用其他方式终止妊娠。
目的：評價足月妊娠用縮宮素引產對羊水性狀的影響，指導縮宮素引產的臨床應用。方法將足月妊娠採用縮宮素引產的孕婦123例分為3組，縮宮素引產48 h內分娩（Ⅰ組），48 h~72 h內分娩（Ⅱ組），>72 h分娩（Ⅲ組），觀察其羊水性狀。結果Ⅰ組，羊水性狀為：清，Ⅰ~Ⅱ度，Ⅲ度，分彆為60.0%，29.3%，9.8%；Ⅱ組為45.0%，37.5%，17.5%，Ⅲ組為23.8%，28.6%，47.6%。結論足月妊娠採用縮宮素引產>72 h分娩比72 h內分娩的孕婦，其羊水明顯汙染。對于縮宮素引產>72 h分娩的孕婦要加彊鑑護，或改用其他方式終止妊娠。
목적：평개족월임신용축궁소인산대양수성상적영향，지도축궁소인산적림상응용。방법장족월임신채용축궁소인산적잉부123례분위3조，축궁소인산48 h내분면（Ⅰ조），48 h~72 h내분면（Ⅱ조），>72 h분면（Ⅲ조），관찰기양수성상。결과Ⅰ조，양수성상위：청，Ⅰ~Ⅱ도，Ⅲ도，분별위60.0%，29.3%，9.8%；Ⅱ조위45.0%，37.5%，17.5%，Ⅲ조위23.8%，28.6%，47.6%。결론족월임신채용축궁소인산>72 h분면비72 h내분면적잉부，기양수명현오염。대우축궁소인산>72 h분면적잉부요가강감호，혹개용기타방식종지임신。
Objective To evaluate influences of induced labor by oxytocin in the full-term pregnancy on the traits of the amniotic fluid,and guide the clinical application of induced labor by oxytocin. Methods To observe 123 pregnant women who were induced labor by oxytocin in full-term pregnancy and divided into three groups:delivery within 48 hours because of induced labor by oxytocin(groupⅠ),delivery within 48-72 hours(groupⅡ),longer than 72 hours of birth (groupⅢ).And observe properties of the amniotic fluid in each group.Results Amniotic fluid properties in groupⅠwere as follows:clear, Ⅰ-Ⅱdegree andⅢdegree which were 60.0%,29.3%and 9.8%respectively;that in groupⅡwere 45.0%,45.0%,and 45.0%respectively;and that in groupⅢwere 23.8%,28.6%and 47.6%respectively. Conclusion The amniotic fluid of women after induced labor by oxytocin in full-term pregnancy is contaminated more obviously in delivery longer than 72 hours than that within 72 hours. Pregnant women after induced labor by oxytocin longer than 72 hours should be strengthened to monitor, or switch to other methods.
