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目的探讨剖宫产后再次妊娠引产方式效果。方法收集诸暨市人民医院2006年2月-2011年12月剖宫产后再次妊娠住院引产病例104例。根据用药方法分两组,A组,米非司酮加利凡诺羊膜腔注射引产;B组,利凡诺羊膜腔注射引产,观察宫缩时间、宫颈成熟情况、宫缩至胎儿娩出时间及胎盘宫腔娩出时间、产后出血量、清宫率。结果 A组宫缩发动时间,胎儿胎盘娩出时间比B组明显缩短,差异有统计学意义(P<0.01)。宫颈成熟度A组达97%,B组26%,差异有统计学意义(P<0.01)。A组出血量少于B组,差异无统计学意义(P>0.05)。清宫率A组明显低于B组,差异有统计学意义(P<0.05)。结论剖宫产后再次妊娠引产,选择米非司酮联合利凡诺羊膜腔注射更安全有效。
Objective To explore the effect of induction of labor again after cesarean section. Methods A total of 104 cases of induction of labor during pregnancy after cesarean section were collected from Zhuji People’s Hospital from February 2006 to December 2011. According to the method of treatment, two groups were divided into group A, mifepristone Galifolin intramuscular injection induced abortion; group B, rivanol amniotic injection induced abortion, observation of contraction time, cervical ripening, contractions to fetus delivery time and The time of delivery of placenta uterine cavity, the amount of postpartum hemorrhage, the rate of Qing. Results A group of contractions time, fetal placenta delivery time was significantly shorter than the B group, the difference was statistically significant (P <0.01). Cervical maturity was 97% in group A and 26% in group B, the difference was statistically significant (P <0.01). A group of bleeding less than the B group, the difference was not statistically significant (P> 0.05). A group of Qing rate was significantly lower than the B group, the difference was statistically significant (P <0.05). Conclusion Cesarean section pregnancy induced labor again, the choice of mifepristone combined rivanol amniotic cavity injection is more safe and effective.