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引产与骨盆评分(作者译)

[Induction of labour and pelvic score (author's transl)].

作者信息

Matthes U, Junge W D

出版信息

Zentralbl Gynakol. 1980;102(20):1175-81.

PMID:7211019
Abstract

Reported in this paper are 267 cases of induced labour with correlation to pelvic score in 213 pregnancies. Tocometrically controlled infusion of 10 IU oxytocin/500 ml is compared to conventional drip infusion of 6 IU oxytocin. The success of induction is closely related to pelvic score according to G. Martius. The rate of good success doubled by about ten points on the pelvic score, that is from 83 to 94 per cent. Good success was obtained in 69 per cent of those cases in which labour had been first induced by drip infusion of 6 IU oxytocin/500 ml and in 92 per cent of those cases in which 10 IU oxytocin/500 ml had been infused under tocometric control. Caesarean section was applied to 4.7 per cent of women in the first group and to 12.8 per cent in the second. Higher section rates and lower apgar values seemed to be correlated to indications for induced labour with tocometrically controlled oxytocin infusion. The results should be verified by comparable material.

摘要

本文报告了213例妊娠中与骨盆评分相关的267例引产病例。将10IU缩宫素/500ml的宫缩图控制输注与6IU缩宫素的传统滴注进行比较。根据G. Martius的方法,引产成功率与骨盆评分密切相关。骨盆评分每增加约10分,引产成功率翻倍,即从83%提高到94%。在首次采用6IU缩宫素/500ml滴注引产的病例中,69%引产成功;在宫缩图控制下输注10IU缩宫素/500ml的病例中,92%引产成功。第一组4.7%的妇女接受了剖宫产,第二组为12.8%。较高的剖宫产率和较低的阿氏评分似乎与宫缩图控制下缩宫素输注引产的指征有关。结果应由可比材料进行验证。

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