124例人工破膜联合缩宫素综合引产在计划分娩中的应用

目的评价人工破膜联合缩宫素处理未临产产妇,尤其是宫颈成熟度（Bis hop）评分低者（3～6分）的疗效.方法将124例计划分娩未临产的孕妇根据其宫颈成熟度评分随机分为两组,观察组（人工破膜联合缩宫素）63例给予人工破膜,1 h后以缩宫素2.5 U加入0.9%NS 500 mL催产素诱导宫缩;对照组61人只以缩宫素2.5 U加入0.9%NS500 mL催产素诱导宫缩静滴,未临产者连用3 d,比较两组的引产成功率、产程进展、羊水性状、新生儿情况、产后出血及剖腹产率.结果观察组在引产成功率、第一产程及总产程时限和剖宫产率方面优于对照组（P〈0.05）,但在新生儿评分、第二产程时限及产后出血方面无显著差异（P〈0.05）.结论对宫颈成熟度评分（3～6分）者予人工破膜联合缩宫素综合引产,具有安全性、有效性,可以降低剖宫产率,提高产科工作质量.

Application of Artificially Amnion Membrane Rupture Combined with Oxytocin in Planned Delivery(A Report of 124 Cases)

Objective To evaluate the efficacy of artificial amnion membrane rupture combined with oxytocin in planned delivery,especially in pregnant women with lower cervical ripening scores（3～6 scores）.Methods A total of 124 subjects were devided randomly into 2 groups：study group and control group.63 women in study group were given artificial amnion membrane rupture firstly,then given 2.5 u/d of oxytocin 1 h later.61 women in control group were given oxytocin only.The success rate of induced labor,labor progress,characteristics of amniotic fluid,neonatal Apgar scores,postpartum hemorrhage and cesarean section rate were then compared between the two groups.Result Compared with control group,the parameters of study group described above were significantly different,but except for Apgar scores,duration of the second labor stage and postpartum hemorrhage.Conclusion Application of artificially amnion membrane rupture combined with oxytocin is safer and more effective in planned delivery for women with cervical ripening score（3～6）,which can decrease cesarean section rate and increase quality of obstetric clinical practice.