首页|催产素引产累计时间对延期妊娠(41周≤孕周<42周)孕妇妊娠结局的影响

催产素引产累计时间对延期妊娠(41周≤孕周<42周)孕妇妊娠结局的影响

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目的 探讨催产素引产及催产素引产累计时间对延期妊娠(41周≤孕龄<42周)孕妇妊娠结局的影响。方法 选取2022年6月至2023年5月罗定市人民医院收治的60例延期妊娠孕妇作为研究对象,经随机数字表法将其分为A组(n=20)、B组(n=20)、C组(n=20)。A组催产素累积静脉滴注时间<20h,B组催产素累积静脉滴注时间20~30h,C组催产素累积静脉滴注时间>30 h。比较三组的分娩方式、新生儿结局、妊娠结局、产后出血量、产程时间。结果 A组和B组的阴道分娩率均高于C组,胎儿窘迫率、新生儿窒息率、羊水污染率、宫颈裂伤率、产后出血率均低于C组,差异有统计学意义(P<0。016 7)。C组的产后出血量高于A组和B组,差异有统计学意义(P<0。05)。A组和B组的第一产程、总产程均短于C组,差异有统计学意义(P<0。05)。结论 催产素引产的相对安全的累计时间界限为<20 h和20~30 h,而20~30 h的妊娠结局更佳,催产素引产累计时间超过30 h会影响新生儿结局和妊娠结局。
Effect of labor induction by oxytocin and the cumulative time of labor in-duction by oxytocin on pregnancy outcomes of women with prolonged pregnancy(41 weeks ≤ gestational weeks<42 weeks)
Objective To investigate the effect of labor induction by oxytocin and the cumulative time of labor induction by oxytocin on pregnancy outcomes of women with prolonged pregnancy(41 weeks≤gestational age<42 weeks).Methods A total of 60 pregnant women with delayed pregnancy admitted to Luoding People's Hospital from June 2022 to May 2023 were selected as the research objects,and they were divided into group A(n=20),group B(n=20)and group C(n=20)by random number table method.The cumulative intravenous infusion time of oxytocin in group A was less than 20 hours,in group B was 20-30 hours,and in group C was more than 30 hours.The delivery mode,neonatal outcome,pregnancy outcome,post-partum hemorrhage and labor time were compared among the three groups.Results The vaginal delivery rate of group A and group B was higher than that of group C,and the fetal distress rate,neonatal asphyxia rate,amniotic fluid contamination rate,cervical lacturing rate and postpartum hemorrhage rate were lower than those of group C,and the differences were statisti-cally significant(P<0.016 7).The amount of postpartum hemorrhage in group C was higher than that in group A and group B,and the differences were statistically significant(P<0.05).The first stage of labor and the total stage of labor in group A and group B were shorter than those in group C,and the differences were statistically significant(P<0.05).Conclusion The relatively safe cumulative time limit of labor induction by oxytocin is<20 h and 20-30 h,and the pregnancy outcome of 20-30 h is better.The cumulative time of labor induction by oxytocin over 30 h will affect the neonatal and pregnancy out-comes.

OxytocinCumulative time for labor inductionDelay of pregnancyPerinatal outcomePregnancy outcome

黄庆桃、谭景、赖馨丽

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广东省罗定市人民医院妇产科,广东罗定 527200

催产素 引产累计时间 延期妊娠 围生儿结局 妊娠结局

广东省云浮市科技计划项目

WS2022030302

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
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