摘要
目的 探讨瘢痕子宫妊娠晚期实施不同引产术对产妇的影响。方法 选取2019年8月—2020年8月沈阳市妇婴医院收治的自愿引产的瘢痕子宫妊娠晚期患者86例,分为单药组41例与联合组45例。单药组采用依沙吖啶羊膜腔内注射法引产,联合组采用依沙吖啶羊膜腔内注射并结合口服米非司酮的方法引产,比较两组产妇的治疗效果。结果联合组引产成功率为97.78%,高于单药组的78.05%,差异有统计学意义(χ^(2)=8.126,P=0.004);联合组并发症发生率为11.11%,低于单药组的29.27%,差异有统计学意义(χ^(2)=4.460,P=0.035)。结论米非司酮联合应用依沙吖啶联合药物引产法可以提高引产成功率,增加引产安全性。
Objective To investigate the effect of different induced labor on parturient women in late pregnancy with scar uterus.Methods From August 2019 to August 2020,86 patients with scar uterus in late pregnancy treated by Shenyang Maternal and infant hospital were selected and divided into single drug group(41 cases)and combined group(45 cases).The single drug group was induced by intraamniotic injection of ethacridine,and the combined group was induced by intraamniotic injection of ethacridine combined with oral mifepristone.The therapeutic effects of the two groups were compared.Results The success rate of induced labor in the combined group was 97.78%,which was higher than 78.05%in the single drug group(χ^(2)=8.126,P=0.004).The incidence of complications in the combined group was 11.11%,which was lower than 29.27%in the single drug group(χ^(2)=4.460,P=0.035).Conclusion Mifepristone combined with ethacridine combined with drugs can improve the success rate and safety of induced labor.
作者
李金伟
LI Jinwei(Department of Obstetrics,Shenyang Maternal and Infant Hospital,Shenyang 110011,Liaoning Province,China)
出处
《中国实用乡村医生杂志》
2021年第12期50-52,共3页
Chinese Practical Journal of Rural Doctor
关键词
瘢痕子宫
妊娠晚期
引产
米非司酮
依沙吖啶
Scarred Uterus
Late Pregnancy
Labor Induction
Mifepristone
Ethacridine