吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
1期
26-28
,共3页
阴道分娩%疤痕子宫%可行性%注意事项
陰道分娩%疤痕子宮%可行性%註意事項
음도분면%파흔자궁%가행성%주의사항
Vaginal delivery%Scar uterus%Feasibility%Matters need attention
目的：对疤痕子宫阴道分娩的可行性及注意事项进行分析研究。方法：选取70例疤痕子宫阴道分娩者设为观察组，选取同期70例非疤痕子宫阴道分娩者设为对照组，观察疤痕子宫阴道分娩者的阴道试产成功率及子宫破裂发生情况，比较两组产时出血量、产程、新生儿Apgar评分、住院时间。结果：观察组70例患者中62例（88.6%）阴道分娩成功，8例转剖宫产，无子宫破裂发生；两组产妇在新生儿窒息发生率、产时出血量、Apgar评分、平均产程、住院时间方面比较，差异无统计学意义（ P>0.05）。结论：疤痕子宫阴道分娩安全、可行，应严格掌握产妇禁忌证与适应证，严密观察产程，做好产前准备工作，确保母婴安全。
目的：對疤痕子宮陰道分娩的可行性及註意事項進行分析研究。方法：選取70例疤痕子宮陰道分娩者設為觀察組，選取同期70例非疤痕子宮陰道分娩者設為對照組，觀察疤痕子宮陰道分娩者的陰道試產成功率及子宮破裂髮生情況，比較兩組產時齣血量、產程、新生兒Apgar評分、住院時間。結果：觀察組70例患者中62例（88.6%）陰道分娩成功，8例轉剖宮產，無子宮破裂髮生；兩組產婦在新生兒窒息髮生率、產時齣血量、Apgar評分、平均產程、住院時間方麵比較，差異無統計學意義（ P>0.05）。結論：疤痕子宮陰道分娩安全、可行，應嚴格掌握產婦禁忌證與適應證，嚴密觀察產程，做好產前準備工作，確保母嬰安全。
목적：대파흔자궁음도분면적가행성급주의사항진행분석연구。방법：선취70례파흔자궁음도분면자설위관찰조，선취동기70례비파흔자궁음도분면자설위대조조，관찰파흔자궁음도분면자적음도시산성공솔급자궁파렬발생정황，비교량조산시출혈량、산정、신생인Apgar평분、주원시간。결과：관찰조70례환자중62례（88.6%）음도분면성공，8례전부궁산，무자궁파렬발생；량조산부재신생인질식발생솔、산시출혈량、Apgar평분、평균산정、주원시간방면비교，차이무통계학의의（ P>0.05）。결론：파흔자궁음도분면안전、가행，응엄격장악산부금기증여괄응증，엄밀관찰산정，주호산전준비공작，학보모영안전。
Objective To analyze the feasibility and matters need attention of uterine scar vaginal delivery. Method 70 cases of uterine scar vaginal delivery were selected as the observation group,70 cases of non-scarring of the uterus vaginal delivery at the same period were selected as the the control group,The success rate of vaginal trial production and the incidence of uterine rupture in the observation group were observed,The amount of bleeding,birth process,Apgar score and the hospitalization time in two groups were compared. Results There were 62 cases(88. 6%)successful vaginal delivery in 70 patients in the observation group,no uterine rupture;The difference of the inci-dence of neonatal asphyxia,amount of bleeding,birth process,Apgar score and the hospitalization time in two groups had no statistical sig-nificance(P>0. 05). Conclusion Uterine scar vaginal delivery is safety and feasible,to control maternal contraindications and indications strictly,observe the production process closely and do well prenatal preparation,can ensure motherhood safety.
