摘要
目的 观察人工干预对疤痕子宫中孕臀位引产的效果.方法 选择60例疤痕子宫中孕臀位要求终止妊娠的妇女,按患者自愿原则将其分为实验组（人工干预）和对照组（未行人工干预）各30例进行注药至宫缩出现时间、宫缩至胎盘排出时间及出血量的对比观察.结果 两组注药至宫缩出现时间、宫缩至胎盘排出时间及出血量比较差异均有统计学意义（t分别为-4.917、-3.178、-2.438,均P〈0.05）.结论 对疤痕子宫中孕臀位引产采用人工干预方法 可明显缩短产程,减少孕妇的痛苦和出血量.
Objective To observe effect of manual interventions in induced labor for breech presentation of scar uterus in the second trimester of pregnancy. Methods 60 pregnant women with breech presentation of scar uterus in the second trimester of pregnancy who wanted to terminate pregnancy and received induced labor were divided into two groups ： manual intervention group （ n = 30 ） and control group （didn＇ t receive any manual interventions in induced labor, n = 30） according to the parturient＇ s willing. The pregnant women in the control group were orally given 150mg of mifepristone and received intra-amniotic injection of ethacridine for induced labor. While those pregnant women in the manual intervention group were intramuscularly injected drag of estradiol benzoate two times a day and slowly intravenously injected 10mg of valimu once per 4 hours if necessary and manually intervented with artificial cervical dilatation and artificial rupture of membrane as well as oral administration of mifepristone and intra-amniotic injection of ethacridine for induced labor. The time from intra-amniotic injection of ethacridine to initiation of uterine contraction, the time from initiation of uterine contraction to delivery of placenta and bleeding amount in labor were compared between the two groups. Results In the time from intra-amniotic injection of ethaeridine to initiation of uterine contraction, the time from initiation of uterine contraction to delivery of placenta and bleeding amount in labor between the two groups, there were statistically significant differences （t = -4. 917, - 3. 178 and -2. 438 respectively, all P 〈 0.05 ）. Conclusion Manual intervention in induced labor for breech presentation of scar uterus in the second trimester of pregnancy can significantly shorten stage of labor and reduce sufferings and bleeding amount of the pregnant woman.
出处
《中国妇幼健康研究》
2010年第3期364-366,共3页
Chinese Journal of Woman and Child Health Research
关键词
人工干预
疤痕子宫
中孕
臀位
引产
manual intervention
scar uterus
the second trimester of pregnancy
breech presentation
induced labor
作者简介
魏庆云（1965-）,女,副主任医师,硕士,主要从事妇科的临床工作.
