论文部分内容阅读
目的:探讨用利凡诺与米索前列醇进行中期妊娠引产的效果。方法:对2012年5月~2013年5月期间我站收治的156例中期妊娠孕妇的临床资料进行回顾性研究。我们将这156例患者随机分为对照组和观察组,每组各有78例患者。我们用利凡诺羊膜腔注射对对照组的患者进行治疗,用利凡诺羊膜腔注射联合米索前列醇阴道上药对观察组的患者进行治疗。治疗结束后,比较两组患者的引产效果。结果:观察组患者的宫颈Bishop评分增加的幅度明显高于对照组的患者,其在用药48h后的引产总有效率明显高于对照组的患者,其引产时间及阴道流血量均少于对照组的患者,二者相比差异具有显著性(P<0.05)。两组患者均未发生严重的药物不良反应。结论:用利凡诺与米索前列醇联合进行中期妊娠引产的效果显著,安全性高。该方法有助于平衡患者宫颈的成熟度和宫缩,提高引产的效果,缩短引产的时间,减少患者阴道的流血量。该方法值得在临床上推广使用。
Objective: To investigate the effect of rivanol and misoprostol on induction of labor during the second trimester of pregnancy. Methods: A retrospective study was conducted on the clinical data of 156 middle-term pregnant women admitted to our hospital from May 2012 to May 2013. We randomly divide 156 patients into control and observation groups, each with 78 patients in each group. We used rivanol amnion to treat patients in the control group and treated with amoxicillin plus misoprostol vaginally on the patients in the observation group. After treatment, the induction of labor in both groups was compared. Results: The increase rate of cervical Bishop score in the observation group was significantly higher than that in the control group. The total effective rate of induced labor after 48 hours of treatment was significantly higher than that of the control group, and the induction of labor and vaginal bleeding were less than those of the control group Of patients, the difference was significant (P <0.05). No serious adverse drug reactions occurred in both groups. Conclusions: The combination of Rivanol and Misoprostol for induction of labor during the second trimester of pregnancy is effective and safe. The method helps to balance the patient’s cervical maturity and uterine contractions, improve the effect of induction of labor, shorten the time of induction of labor, and reduce the vaginal bleeding in patients. The method is worth promoting in clinic.