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本文分析了我院五年来210例初产、单胎、头位高危孕妇以改良 Bishop 评分法为指导,进行人工剥膜、破膜加催产素静脉滴注引产病例。本法操作简便;成功率高,24小时内临产率达97.14%;对母婴较安全:在高危妊娠的处理中有一定实用价值。要提高引产成功率,除盆腔评分需≥6分外,同时宫颈口扩张要≥1分,宫颈成熟度要≥2分,并建议以引产开始后6小时内临产者作为引产成功的标准。本文还提出用微量催产索静滴以促使宫颈成熟,有利于引产的成功。
This article analyzes our hospital 210 cases of primiparous, single fetus, head high-risk pregnant women with improved Bishop scoring method as a guide, manual removal of membranes, rupture of membranes and oxytocin intravenous infusion of induction of labor. This method is easy to operate; high success rate, within 24 hours, the yield rate of 97.14%; more secure for mothers and babies: the treatment of high-risk pregnancy has some practical value. To improve the success rate of induction of labor, in addition to the pelvic score required ≥ 6 points, while cervical dilatation to be ≥ 1 points, cervical maturity should be ≥ 2 points, and recommended that labor within 6 hours after induction of labor as a successful induction of labor standard. This article also proposed intravenous infusion of trace oxytocin to promote cervical maturation, is conducive to the success of induction of labor.