普贝生与催产素用于晚期妊娠计划分娩的探讨

目的研究普贝生和催产素用于晚期妊娠计划分娩的可行性。方法随机选用两组晚期妊娠孕妇,甲组单用催产素,乙组普贝生联合催产素,观察宫颈成熟、产程、产后出血等情况。结果甲组引产失败率15.4%,乙组无1例失败;乙组总产程明显低于甲组;乙组宫颈成熟度明显高于甲组。结论普贝生主要作用于宫颈结缔组织,促宫颈成熟。催产素的作用主要表现在对子宫肌肉的收缩,两者联合使用可提高计划分娩的成功率,并且具有副作用小、操作方便,对母婴无直接影响等优点,是晚期计划分娩的首选方法。

Clinical evaluation of propess and oxytocin for programed delivery in late pregnancy Plan

Objective To investigate the feasibility of propess and oxytocin used for planned delivery in late pregnancy. Methods Two groups of pregnant women in late pregnancy were selected at random. Oxytocin was singly used in group A ,while Propess and oxytocin was jointly used in group B. Observe the Maturity of cervical,total stage of labor,postpartum hemorrhage,and so on. Result The failed rate of induced labor is 15.4%in group A,but no one is failed in group B;The total stage of labor in group B was significantly shorter than that in group A; The maturity of cervical in group B was significantly higher than that in Group A.Conclusion Propess acts on the connective tissue of muscle.Joint use of the two drugs can improve the success rate of the programed delivery,and has the advantages of few side effects,easy to operate,no direct impact on maternal and child ,and so on. so the combined use is the preferred method for the programed delivery in the advanced stage.