输液泵静滴催产素引产的临床应用

目的 观察输液泵调整催产素滴速在足月妊娠引产中的应用价值.方法 选取180例初产妇,均为41～42孕周,年龄21～28岁,无规律宫缩,宫颈Bishop评分≥7分,并排除头盆不称、羊水过少、胎儿窘迫等引产禁忌,接受催产素静脉滴注.随机将180例引产者分为输液泵组90例,人工调节组90例,两组资料有可比性.结果 输液泵组:引产成功85例,成功率94.44%,发生强直性宫缩2例,占2.22%(后经调节好转进入产程);3例引产失败剖宫产分娩.产程平均时间为(70.4±35.3)min.人工调节组:引产成功79例,成功率87.78%,发生强直性宫缩6例,占6.67%(最终引产成功4例,剖宫产2例),引产失败5例;产程平均时间为(91.6±40.0)min.输液泵组在安全性上及引产成功率与人工调节组比较,差异无统计学意义(P>0.05).引产时间比较,输液泵组明显短于人工调节组,差异有统计学意义(P<0.01).结论 采用输液泵调整催产素引产,具有给药方便、药量调节准确、缩短产程、催产效率高、输液时间短等优点,输液泵的应用为临床节省了人力和时间,成为工作中有力的帮手.

INTRAVENEOUS DRIP OF OXYTOCIN ADJIUSTED BY INFUSION PUMP IN THE INDUCTION OF LABOR IN TERM PREGNANCY

Objective To observe the clinical value of intraveneous drip of oxytocin adjusted by infusion pump in the induction of labor in term pregnancy.Methods 180 cases of primipara received intraveneous drip of oxytocin.All these cases had been pregnant for 41 to 42 weeks,aged between 21 to 28,having no regular uterine contraction,with the cervical bishop score being equal to or above 7 and without induction taboos of cephalopelvic disproportion,oligohydramnios or fetal distress.The 180 cases were randomly divided...