[摘要]目的 观察地诺前列酮栓——普贝生用于足月妊娠可疑羊水过少引产时的临床疗效。方法将120例妊娠足月未破膜,合并可疑羊水过少单胎头位初产妇随机分为普贝生组和催产素组,各60例。普贝生组阴道后穹隆放置普贝生引产,催产素组常规静滴催产素引产,观察胎心、羊水情况,比较两组孕妇的宫颈Bishop评分和分娩情况。结果普贝生组宫颈评分较催产素组显著提高(P<0.05);普贝生组引产时间明显短于催产素组(P<0.05);普贝生组的剖宫产率(10.00%)低于催产素组(43.33%)(P<0.05)。结论普贝生用于可疑羊水过少引产较催产素引产时间短,并能降低剖宫产率。

    [关键词]地诺前列酮; 宫颈评分; 引产; 可疑羊水过少

    [中图分类号] R719.3 [文献标识码] A [文章编号] 1673-9701(2009)27-45-02

    Use of Propess for Full-term Induced Labor due to Suspicious Oligohydramnios

    SUN Yanhua LI Yan

    Shunyi Maternal and Child Care Hospital,Beijing 101300,China

    [Abstract] ObjectiveTo investigate the clinical efficacy of Propess(Dinoprostone) in the full-term induced labor due to suspicious oligohydramnios. MethodsWe assigned 120 primiparas of single cephalic term pregnancy with suspicious oligohydramnios into two groups:the Propess group(60) in which Propess was put in the vaginal and the Oxycin group(60) in which Oxycin was used. The cervical Bishop score,labor,length of birth process,modes of delivery,maternal and neonatal mobidity were compared between two groups. ResultsThe cervical maturity(by Bishop scoring) was 94% in the Propess group. The induction time was significantly shorter and the cesarean section rate was reduced in the Propess group compared with the Oxycin group. ConclusionThe shorter induction time and the lower cesarean section rate can be obtained with Propess in induced labor due to suspicious oligohydramnios. ......