蓖麻油引产餐用于晚期妊娠的引产效果观察

Study on induction of labor by administrating meal of oleum ricini in late pregnancy

［ 目的］ 观察服用蓖麻油引产餐进行晚期妊娠引产的临床效果．［ 方法］ 将需实施引产的１０５ 例晚期妊娠孕妇作为引产组，服用蓖麻油引产餐进行引产，观察引产成功率，并设自然阴道分娩的８０ 例作为对照组，就总产程、出血量及新生儿Ａｐｇａｒ 评分进行对比研究．［ 结果］ 引产组引产有效率为８０ ％ ，服蓖麻油引产餐后至临产时间平均为５ｈ５２ｍｉｎ ，阴道分娩７８ 例，剖宫产６ 例，总产程为（９ ±３）ｈ ，与对照组（１１ ±４）ｈ 比较，产程显著缩短，出血量及新生儿Ａｐｇａｒ 评分无显著差异．［ 结论］蓖麻油引产餐能促进宫颈成熟，发动并增强宫缩，缩短产程．

OBJECTIVE To observe the clinical effects of meal of oleum ricini for the induction of labor in late pregnancy women.METHOD 105 cases of late pregnancy were set as an induction group of meal of oleum ricini to study the successful induction rate. 80 cases of natural labor were set as a control group. It was studied between two groups that the total stages of labor, amount of bleeding and newborn baby's Apgar scores.RESULT The effective rate of induction was 80% in induction group, the average time from administrating meal of oleum ricini to labor was 5h 52 minutes. 78 cases gave vaginal labor and 6 cases were on cesarean section, and the total stages of labor was (9±3)h in induction group that was significantly shorter than (11±4)h in control group. There was no significant difference in the amount of bleeding and newborn baby's Apgar scores in two groups.CONCLUSION The meal of oleum ricini for induction of labor can promote cervical maturation, increase uterine contraction and shorten the stages of labor.