羊膜腔灌注对妊娠中期羊水过少引产的影响

目的探讨中期妊娠羊水过少孕妇羊膜腔灌注生理盐水后注入依沙吖啶用于引产的可行性和安全性。方法选择2010年1月-2013年1月收治的中期妊娠羊水过少要求引产的患者80例，随机分为观察组40例和对照组4｜D例，观察组羊膜腔内灌注生理盐水后注入依沙吖啶，对照组仅注入依沙吖啶。比较两组引产成功率、官缩发动时间及胎儿娩出时间和产后出血量。结果观察组的宫缩发动的时间及胎儿娩出时间明显少于对照组（P〈0．05），Ⅲ、Ⅳ级引产腹痛发生率均明显低于对照组（P〈0．005），引产后24h内阴道出血量观察组明显少于对照组，差异有统计学意义（P〈0．01），观察组引产成功35例，B对照组24例，进行r检验差异有统计学意义。结论羊膜腔灌注生理盐水后注入依沙吖啶用于中期妊娠羊水过少引产安全、有效。

Effect of Amniotic cavity perfusion on induced labor in second trimester of pregnancy

Objective To investigate the oligohydramnios pregnant amniotic infusion of normal saline injection of ethacridine for feasibility and safety of induction of labor. Methods 80 patients from 2010 January to 2013 January were oligohydramnios fetus, were randomly divided into the observation group of 40 cases and control group of 40 cases, the observation group amnioinfusion saline injection of ethacridine, the control group only injection of ethaeridine. Comparison of two groups of the successful rate of induced labor, the time of uter- ine contraction and fetal childbirth time and the amount of postpartum hemorrhage. Results Observation group contractions and fetal childbirth time to wage was less than that of control group （ P 〈 0. 05 ） , Ⅲ, Ⅳ induced labor incidence of abdominal pain were significantly lower than the control group （ P 〈 0. 005 ） , induced labor within 24 h after vaginal haemorrhage amount obviously lower in observation group than control group, with sig- nificant difference （ P 〈 0. 01 ） , the observation group of 35 cases induced labor success, 24 cases of control group B, chi square test have significant statistical difference. Conclusion Amniotic cavity perfusion after the physiological saline injection according to the sand acridine for safe and effective oligohydranmios mid pregnancy induced labor.