中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
19期
26-27
,共2页
剖宫产%再次妊娠%子宫下段厚度
剖宮產%再次妊娠%子宮下段厚度
부궁산%재차임신%자궁하단후도
Cesarean section%Re-pregnancy%Uterine lower segment thickness
目的：研究并分析剖宫产对再次妊娠晚期产妇子宫下段厚度的影响。方法：2013年2月-2014年2月笔者所在医院收治的进行过剖宫产的二次妊娠产妇182例，按照患者子宫下段的厚度将其分为两组，分别是厚度小于3 mm的甲组(n=91)和厚度≥3 mm的乙组(n=91)。两组均进行二次剖宫生产，观察两组术中出血量、缩宫素总用量、产后大出血的发生情况。结果：产妇的出血量在330 ml以下，甲组为96.70%，乙组为51.65%，两组比较差异有统计学意义(P<0.05)；产妇的缩宫素用量在20 ml以下者，甲组为94.51%，乙组为56.04%，两组比较差异有统计学意义(P<0.05)；甲组大出血的发生率为13.19%，而乙组为38.46%，甲组比乙组低25.27%，差异有统计学意义(P<0.05)。结论：子宫下段厚度对剖宫产后再次妊娠有较大的影响，子宫下段厚度较小的患者在二次剖宫产中出血量少，缩宫素用量较小，产后大出血的发生率明显降低，对患者的伤害较小，安全性高，值得在临床推广。
目的：研究併分析剖宮產對再次妊娠晚期產婦子宮下段厚度的影響。方法：2013年2月-2014年2月筆者所在醫院收治的進行過剖宮產的二次妊娠產婦182例，按照患者子宮下段的厚度將其分為兩組，分彆是厚度小于3 mm的甲組(n=91)和厚度≥3 mm的乙組(n=91)。兩組均進行二次剖宮生產，觀察兩組術中齣血量、縮宮素總用量、產後大齣血的髮生情況。結果：產婦的齣血量在330 ml以下，甲組為96.70%，乙組為51.65%，兩組比較差異有統計學意義(P<0.05)；產婦的縮宮素用量在20 ml以下者，甲組為94.51%，乙組為56.04%，兩組比較差異有統計學意義(P<0.05)；甲組大齣血的髮生率為13.19%，而乙組為38.46%，甲組比乙組低25.27%，差異有統計學意義(P<0.05)。結論：子宮下段厚度對剖宮產後再次妊娠有較大的影響，子宮下段厚度較小的患者在二次剖宮產中齣血量少，縮宮素用量較小，產後大齣血的髮生率明顯降低，對患者的傷害較小，安全性高，值得在臨床推廣。
목적：연구병분석부궁산대재차임신만기산부자궁하단후도적영향。방법：2013년2월-2014년2월필자소재의원수치적진행과부궁산적이차임신산부182례，안조환자자궁하단적후도장기분위량조，분별시후도소우3 mm적갑조(n=91)화후도≥3 mm적을조(n=91)。량조균진행이차부궁생산，관찰량조술중출혈량、축궁소총용량、산후대출혈적발생정황。결과：산부적출혈량재330 ml이하，갑조위96.70%，을조위51.65%，량조비교차이유통계학의의(P<0.05)；산부적축궁소용량재20 ml이하자，갑조위94.51%，을조위56.04%，량조비교차이유통계학의의(P<0.05)；갑조대출혈적발생솔위13.19%，이을조위38.46%，갑조비을조저25.27%，차이유통계학의의(P<0.05)。결론：자궁하단후도대부궁산후재차임신유교대적영향，자궁하단후도교소적환자재이차부궁산중출혈량소，축궁소용량교소，산후대출혈적발생솔명현강저，대환자적상해교소，안전성고，치득재림상추엄。
Objective:To study and analyze the effect of cesarean section again in late pregnancy lower uterine segment thickness.Method:From February 2013 to February 2014,182 cases were treated in our hospital by cesarean section of two pregnancies maternal,according to the patients of lower uterine segment thickness were randomly divided into two groups,the thickness of less than 3 mm group A(n=91) and a thickness greater than 3 mm group B(n=91).Two groups of patients were two splits the palace production operation.Observed two groups of postoperative hemorrhage,oxytocin,the total amount of postpartum hemorrhage rate of occurrence.Result:Bleeding in 330 ml or less,group A 4 was 96.70%,group B was 51.65%,the difference was statistically significant(P<0.05).Dosage of oxytocin in 20 ml or less,group A was 94.51%,group B was 56.04%,the difference was statistically significant(P<0.05).Group A bleeding rate was 13.19%, while group B was 56.05%,the difference was statistically significant(P<0.05).Conclusion:The lower uterine segment thickness of pregnancy after cesarean section has a greater impact,the lower uterine segment thickness is small in two patients with hemorrhage in cesarean section less,a small amount of oxytocin, postpartum hemorrhage significantly reduced the incidence of patients,less damage,high safety,is worth popularization in clinical.
