水囊联合缩宫素终止晚期妊娠临床观察

Clinical observation of water bag combined with oxytocin in late termination of pregnancy

目的观察妊娠晚期应用水囊联合缩宫素引产的安全性与有效性。方法选择妊娠28~36周,因死胎、胎儿畸形、妊娠并发症等要求终止妊娠的妇女80例,将80例患者随机分为观察组和对照组,观察组40例,采用水囊联合缩宫素法引产;对照组40例,采用依沙吖啶引产。结果观察组胎儿娩出时间短于对照组（P〈0.05）,胎盘胎膜残留率和产后阴道出血量均明显低于对照组（P〈0.01）。观察组引产过程中无任何不良反应。结论水囊联合缩宫素终止晚期妊娠是安全有效的,临床值得推广。

Objective To observe the safety and efficacy of applying water bag combined with oxytocin in later termination of pregnancy.Methods Eighty 28 to 36 weeks pregnant women who demanded termination of pregnancy due to fetal death,fetal abnormalities and pregnancy complications were divided into study group（n=40） and control group（n=40）.The study group received water bag combined with oxytocin to induce abortion and the control group took rivanol.Results The delivery duration of the study group was shorter than that of the control group（P〈0.05）.The residual rate of placental membranes and postpartum bleeding were significantly lower in the study group than in the control group（P〈0.01）.The study group had no adverse events in the process of induced abortion.Conclusion Water bag combined with oxytocin in late termination of pregnancy is safe and effective.Thus it is worthy of wider clinical application.