三种方法用于羊水过少死胎引产的效果比较

Effect comparison of three methods for induced labor of oligohydramnios stillbirths

目的比较三种方法在羊水偏少死胎引产中的临床效果。方法采用对照观察的方法将174例中晚期羊水偏少死胎引产的孕妇随机分为三组:(1)米非司酮米索组(2)低位水囊组(3)利凡诺组。各组条件差异无统计学意义,比较各组(1)引产的临床效果;(2)分娩情况;(3)产后出血等指标。结果 (1)米非司酮组与低位水囊组比较分娩情况和引产效果差异无统计学意义,产后出血比较差异有统计学意义(2)米非司酮组与利凡诺组比较,引产效果、分娩情况、产后出血差异有统计学意义。结论米非司酮联合米索阴道用药用于中晚期羊水偏少死胎引产是一种经济、安全、有效的方法。

Objective： To compare clinical effectsn of three methods for induced labor of oligohydramnios stillbirths.Methods： 174 middle-late pregnant women needing induced labor for oligohydramnios stillbirths were divided into three groups stochastically：（1）mifepristone combined with misoprotol group,（2） low position water bag group and（3）Rivanol group.The condition differences of each group had no statistical significance.The indicators of each group,such as clinical effects of induced labor,delivery conditions and postpartum hemorrhage,were compared.Results：（1）The differences in effects of induced labor and delivery conditions of mifepristone combined with misoprotol group and low position water bag group had no statistical significance,but the differences in postpartum hemorrhage of this two groups had statistical significance;（2）The differences in the three indicators of mifepristone combined with misoprotol group and Rivanol group had statistical significance.Conclusion： Mifepristone combined with misoprotol is an economical,safe and effective method for induced labor of oligohydramnios stillbirths.