中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
12期
33-34
,共2页
瘢痕子宫%再次妊娠%剖宫产%阴道分娩%观察研究
瘢痕子宮%再次妊娠%剖宮產%陰道分娩%觀察研究
반흔자궁%재차임신%부궁산%음도분면%관찰연구
Uterine scar%Repeated pregnancy%Cesarean section%Vaginal delivery%Observational study
目的：探究并分析瘢痕子宫再次妊娠时不同分娩方式。方法采用随机数字表法随机抽取120例瘢痕子宫再次妊娠的患者，随机分成两组，试验组采用阴道分娩方式，对照组采用剖宫产的方式，比较两组患者经不同方式分娩后新生儿以及产妇情况。结果试验组患者产后出血的发生率为8.33%，子宫内膜异位10.00%，产褥感染13.33%，而对照组产后出血发生率为35.00%，子宫内膜异位36.67%，产褥感染18.33%，两组比较，差异有统计学意义（P<0.05）。试验组新生儿窒息1例、新生儿感染9例、新生儿颅内出血9例，而对照组采用阴道分娩新生儿窒息3例、新生儿感染11例、新生儿颅内出血12例，两组比较，差异无统计学意义（P>0.05）。结论剖宫产后再次分娩的患者，在符合阴道分娩的指标时，可选择阴道分娩进行分娩，安全性较高，值得在临床上推广。
目的：探究併分析瘢痕子宮再次妊娠時不同分娩方式。方法採用隨機數字錶法隨機抽取120例瘢痕子宮再次妊娠的患者，隨機分成兩組，試驗組採用陰道分娩方式，對照組採用剖宮產的方式，比較兩組患者經不同方式分娩後新生兒以及產婦情況。結果試驗組患者產後齣血的髮生率為8.33%，子宮內膜異位10.00%，產褥感染13.33%，而對照組產後齣血髮生率為35.00%，子宮內膜異位36.67%，產褥感染18.33%，兩組比較，差異有統計學意義（P<0.05）。試驗組新生兒窒息1例、新生兒感染9例、新生兒顱內齣血9例，而對照組採用陰道分娩新生兒窒息3例、新生兒感染11例、新生兒顱內齣血12例，兩組比較，差異無統計學意義（P>0.05）。結論剖宮產後再次分娩的患者，在符閤陰道分娩的指標時，可選擇陰道分娩進行分娩，安全性較高，值得在臨床上推廣。
목적：탐구병분석반흔자궁재차임신시불동분면방식。방법채용수궤수자표법수궤추취120례반흔자궁재차임신적환자，수궤분성량조，시험조채용음도분면방식，대조조채용부궁산적방식，비교량조환자경불동방식분면후신생인이급산부정황。결과시험조환자산후출혈적발생솔위8.33%，자궁내막이위10.00%，산욕감염13.33%，이대조조산후출혈발생솔위35.00%，자궁내막이위36.67%，산욕감염18.33%，량조비교，차이유통계학의의（P<0.05）。시험조신생인질식1례、신생인감염9례、신생인로내출혈9례，이대조조채용음도분면신생인질식3례、신생인감염11례、신생인로내출혈12례，량조비교，차이무통계학의의（P>0.05）。결론부궁산후재차분면적환자，재부합음도분면적지표시，가선택음도분면진행분면，안전성교고，치득재림상상추엄。
Objective To investigate and analyze different delivery modes for repeated pregnancy after uterine scar. Methods 120 cases of patients with repeated pregnancy after uterine scar were randomly selected and divided into two groups according to the random number table. Patients in the experimental group were given vaginal delivery, while patients in the control group were giv-en cesarean section. The conditions of newborns and puerperants after different labor modes in two groups were compared. Results The incidence of postpartum hemorrhage, endometriosis, puerperal infection of the experimental group was 8.33%, 10.00%, 13.33%,respectively, and that of the control group was 35.00%, 36.67%, 18.33%, separately, the differences between two groups were statistically significant, P<0.05. In the experimental group, there was 1 case of neonatal asphyxia, 1 case of neonatal infec-tion, 9 cases of newborns with intracranial hemorrhage, while in the control group adopted vaginal delivery, there were 3 cases of neonatal asphyxia, 11 cases of neonatal infection, 12 cases of newborns with intracranial hemorrhage, the differences were not sta-tistically significant, P>0.05. Conclusion If it is in accord with the indexes of vaginal delivery, vaginal delivery can be the choice for the one who has repeated pregnancy after uterine scar. It is high safe, and worthy of clinical practice.
