CAJ | 학술논문

目的：探讨阴道试产中转剖宫产的影响因素以及预防措施。方法：本文选取我院自2012年1月—2014年1月收治的53例阴道试产失败而转剖宫产患者以及同时期收治的53例阴道试产成功自然分娩产妇为研究对象。收集所有产妇住院期间的全部临床资料，并对其进行回顾性分析。探讨影响阴道试产中转剖宫产的主要影响因素，并分析应采取的预防措施。结果：产妇年龄、孕周、产次、新生儿体重、单双胎以及临床指征中胎儿窘迫、产程停滞延长、头盆不称、妊娠并发症、引产失败、瘢痕子宫等因素会影响阴道试产中转剖宫产的发生率；并且多因素回归分析发现，年龄大、初次分娩、新生儿体重高的产妇行阴道试产失败中转剖宫产的概率较高。结论：阴道引产失败而中转剖宫产与多种因素有关，因此为降低剖宫产引用率，医护人员需针对主要影响因素采取合适的预防措施以避免剖宫产的过度滥用，提高分娩质量。
목적：탐토음도시산중전부궁산적영향인소이급예방조시。방법：본문선취아원자2012년1월—2014년1월수치적53례음도시산실패이전부궁산환자이급동시기수치적53례음도시산성공자연분면산부위연구대상。수집소유산부주원기간적전부림상자료，병대기진행회고성분석。탐토영향음도시산중전부궁산적주요영향인소，병분석응채취적예방조시。결과：산부년령、잉주、산차、신생인체중、단쌍태이급림상지정중태인군박、산정정체연장、두분불칭、임신병발증、인산실패、반흔자궁등인소회영향음도시산중전부궁산적발생솔；병차다인소회귀분석발현，년령대、초차분면、신생인체중고적산부행음도시산실패중전부궁산적개솔교고。결론：음도인산실패이중전부궁산여다충인소유관，인차위강저부궁산인용솔，의호인원수침대주요영향인소채취합괄적예방조시이피면부궁산적과도람용，제고분면질량。
Objective:To investigate preventive policies for the vaginains into cesarean section. Methods:53 cases of failed vaginal production and 53 cases of successful vaginal production were selected for the study.All clinical data were collected and analyzed for more detailed preventive measures in the future.Results:maternal age,gestational age, parity,birth weight, twin and single clinical indications of fetal di stress, prolonged s tagnation of l abor,head di sproportion,complications of pre gnancy,induction fa ilure, s car ut erus a nd ot her fa ctors will affect incidence of cesarean section;and multivariate regression analysis showed that age,the initial delivery,birth weight high maternal vaginal trial production with higher risk into cesarean section.