缩宫素用于晚期妊娠引产失败的影响因素研究

Oxytocin used in the study of the influence factors of induced labor in late pregnancy failure

目的研究与分析缩宫素用于晚期妊娠引产失败的影响因素。方法选取本院90例引产成功产妇为研究组,40例引产失败产妇为对照组。收集两组产妇临床一般资料和引产资料等,并采取多因素Logistic回归方法进行分析与研究。结果研究发现,产妇孕次多、既往药物流产史、用药至宫缩规律时间长、用药至用药结束时间长、用药至分娩时间长、新生儿体重大等为引产失败单因素(P<0.05)。而孕次多、用药时间至宫缩规律时间长、新生儿体重大为引产失败多因素(P<0.05)。结论影响缩宫素用于晚期妊娠引产失败的主要因素为孕次多、用药时间至宫缩规律时间长、新生儿体重大。因此,需加强对产妇妊娠情况的评估,并提高医务人员操作熟练性,保障引产顺利进行,减少引产失败情况发生。

Objective Researched and analysed the influence factors of oxytocin used in late pregnancy induced labor failure. Method Adopted the method of control study and analysis, including 90 cases of induced labor winners for the team; 40 cases of induced labor losers as the control group. Two groups of patients with clinical general information collection and induced labor data, etc., and adopted the method of multi-factor Logistic regression analysis and research. Result The study found that patients with pregnant time and the history of medical abortion and the preparation to the contractions are long, long to the end of the medication, medication to the delivery time was long, and the failure of single factor for preterm delivery with big newborn body weight（P〈0.05）. While pregnant time and long duration to the law of contractions and neonatal weight induced labor failure factors more greatly（P〈0.05）. Conclusion Oxytocin used in late gestation induced labor are the main factors causing the failure of pregnant time and duration to the contractions more regular time and neonatal weight. Therefore, to evaluate patients need to be improved, and improve the medical personnel operation skill, ensure the smooth undergoing of induced labor reduce induced labor failure happens.