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目的 研究三种引产方法用于足月妊娠引产的临床效果。方法 将 30 9例患者随机分为三组 :蓖麻油引产餐组(服餐组 ,143例 )、水囊组 (6 6例 )、催产素组 (10 0例 ) ,观察比较其临床效果。结果 水囊组引产总有效率明显高于服餐组及催产素组 (P<0 .0 1) ,而服餐组又高于催产素组 (P<0 .0 5 )。对于宫颈评分≥ 5分者 ,水囊组与服餐组引产总有效率无显著性差异 (P>0 .0 5 ) ,但两组引产总有效率均明显高于催产素组 (P<0 .0 5 )。对于宫颈评分 <5分者 ,水囊组引产总有效率明显高于服餐组及催产素组 (P<0 .0 1)。结论 由于水囊法需经阴道操作 ,发生感染及并发症的机会较多 ,故对于宫颈评分≥ 5分者采用蓖麻油引产餐引产 ;对于宫颈评分 <5分者 ,采用低位水囊进行引产。
Objective To study the clinical effects of three induced abortion methods on term labor induction of labor. Methods A total of 309 patients were randomly divided into three groups: castor oil induction cessation group (taking meal group, 143 cases), water sac group (66 cases) and oxytocin group (100 cases). The clinical effects were observed and compared. Results The total effective rate of induced abortion in the hydrocephalus group was significantly higher than that of the serving group and the oxytocin group (P <0.01), while the loading group was higher than that of the oxytocin group (P <0.05). For cervical score ≥ 5 points, there was no significant difference in the total effective rate of induction of labor between Shuibu group and Fumen group (P> 0.05), but the total effective rate of both groups was significantly higher than that of oxytocin group (P0.01) .0 5). For cervical score <5 points, the total effective rate of induction of labor in the water sac group was significantly higher than that of the serving group and the oxytocin group (P <0.01). Conclusions Because of the need of transvaginal operation and the chances of infection and complication, the hydrosalpinx method should be induced by labor with castor oil for cervical score ≥ 5 points. For the cervix score <5 points, low-grade balloon should be used for induction of labor.