应用普贝生缩短产程380例临床分析

Clinical Analysis of 380 Cases about Propess Decurtating the Birth Process

目的探讨普贝生引产的产程特点及安全性。方法观察组取本院2006年9月～2007年12月在我院放置普贝生阴道分娩，足月，无放置普贝生禁忌证，单胎头位产妇380例，对照组取同期足月自然临产或缩宫素静脉滴注引产临产的阴道分娩初产妇。比较两组的各产程时间、产后出血例数、产后尿潴留例数、胎儿宫内窘迫及新生儿窒息数。结果观察组活跃期及第2产程明显缩短，差异有显著性，P〈0．05。观察组未发生产后出血及尿潴留。两组胎儿宫内窘迫及新生儿窒息例数比较无显著性差异．P〉0．05。结论普贝生引产缩短活跃期及第2产程效果显著，产后并发症少，安全有效。

Objective To investigate the feature and the safety of birth process of induced labor by Propess. Methods The 380 cases of vaginal delivery women in our hospital between Sep. 2006 to Dec. 2007 who, were primigravida, term delivery, singleton gestation, vertex presentations and no standing contraindication, was considered as study group. The other 380 cases of women of labor spontaneous or intravenous oxyvenous in the same condition was considered as control group. The birth process, the amount of bleeding, the number of urine retention,and the prognosis of neonate were compared between the two group. Results The active phase and the second stage was abbreviated in the study group, （P 〈 0.05）. Postpartum hemorrhage and urinary retention is not happen in the study group,and there were no significant difference in the number of fetal distress and neonatal asphyxia, （ P 〉 0.05 ）. Conclusion Propess was more effective and safe in shortening the active phase, the secona stage and reducing complications.