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为探讨近2年在引产前促宫颈成熟方法的临床应用及催产素引产的效果。对1995～1996年的583例足月引产孕妇在引产原因、分娩方式及合并症方面与同期头位自然临产2192例孕妇进行对照性分析;并对促宫颈成熟的方法效果进行观察。结果:引产组的引产适应症前三位依次为孕≥41周(24.69％)、胎膜早破(24.36％)、妊高征(12.35％),与临产组比较有统计学意义(P>0.01)。经四种促宫颈成熟方法合理使用前后的宫颈评分比较均有统计学意义(P<0.02～P<0.001)。两组分娩方式无差别(P>0.05)。提示:引产组母儿合并症较临产组高,但分娩结局无差别。引产前的促宫颈成熟是引产成功的重要因素。
In order to explore the clinical application of the method of promoting cervical ripening before induction of labor in recent 2 years and the effect of oxytocin induction of labor. A total of 583 full-term pregnant women who induced termination of labor during 1995-1996 were compared with 2192 pregnant women with spontaneous labor at the same period in terms of labor induction, mode of delivery and complications. The effect of cervical ripening was observed. Results: The first three indications of induced labor in induction group were: pregnancy ≥41 weeks (24.69%), premature rupture of membranes (24.36%) and pregnancy induced hypertension (12.35%), which were statistically significant compared with labor group (P> 0.01). Cervical score before and after the rational use of four kinds of cervical ripening methods were statistically significant (P <0.02 ~ P <0.001). There was no difference between the two modes of delivery (P> 0.05). Tip: induction of maternal and child complications of labor group than the high labor group, but no difference in delivery outcome. Cervical maturation before induction of labor is an important factor in the successful induction of labor.