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目的:探讨早期人工破膜在妊娠期高血压疾病引产时的应用及对产程的影响,以期为妊娠期高血压疾病时适时终止妊娠,确定恰当的引产方法。方法:对我院2000-10/2006-10入院的轻、重度子痫前期孕妇分为A、B两组,引产时A组采用早期人工破膜加催产素静脉滴注引产,B组催产素静脉滴注引产,待自然破膜。从对产程的影响、剖宫产率及产后出血量进行比较。结果:A组潜伏期、活跃期及总产程时间与B组比较明显缩短,催产素引产成功率高,差异有显著性;两组剖宫产率比较,差异亦有显著性。结论:此方法可有效地缩短产程,减少母婴并发症及剖宫产率,是行之有效的引产方法。
OBJECTIVE: To investigate the application of early artificial rupture of membranes in the induction of labor during hypertensive disorders of pregnancy and its effects on the labor process, with a view to timely termination of pregnancy for hypertensive disorder of pregnancy and to determine the proper induction of labor. Methods: The pregnant women with mild and severe preeclampsia admitted to our hospital from October 2000 to October 2006 were divided into two groups: group A and group B. In group A, early artificial rupture of membranes and oxytocin intravenous drip induction were used. In group B, oxytocin Induction of intravenous drip, to be natural rupture of membranes. From the impact on labor, cesarean section rate and postpartum hemorrhage were compared. Results: The latency, active phase and total labor duration of group A were significantly shortened compared with group B, and the success rate of oxytocin induction was high with significant difference. There was also significant difference between the two groups in cesarean section rate. Conclusion: This method can effectively shorten the labor process, reduce maternal and child complications and cesarean section rate, is an effective method of induction of labor.