足月妊娠催产素引产对分娩结局的影响

Effect of term pregnancy oxytocin on labor

对用催产素计划分娩（催产素组）与自然临产分娩（对照组）两组病人的分娩方式、总产程及分娩并发症进行对比分析，探讨催产素对分娩结局的影响。结果表明：催产素引产成功率为８０．２８％；催产素组难产率为２３．９４％，产后出血量１８０±８６．２３ｍｌ，均明显高于对照组；两组总产程、新生儿窒息率、软产道裂伤及急产差异无显著性。提示：目前使用的催产素持续静滴法尚不是应用催产素的最佳方案。

? The labor way, total stages of labor, and the labor complications of oxytocin planned labor(oxytocin group) were analysed, compared to the spontaneous labor group(the control group). Investigation of oxytocin on the labor showed that the rate of success by induction of labor by oxytocin was 80.28% and the rate of difficult labor was 23.94%, the amount of bleeding post labor was 180±86.23ml, significantly higher than the control group; but the difference of total stages of labor, the rate of asphyxia neonatorum, the injury of birth canal and the precipitate labor were not significant. It indicated that the intravenous drip of oxytocin is not a best way to apply oxytocin anf the monitor of stages of labor should be intensified. 