CAJ | 학술논문

目的：探索剖宫产术后再次妊娠产妇分娩时间和分娩方式的选择。方法选择2012年1月～2015年1月于我院就诊的220例行剖宫产后再次妊娠的产妇作为研究对象，根据分娩方式不同而分为阴道分娩组（76例）和剖宫产组（144例），剖宫产组根据手术时机不同分为进入产程组（65例）和未进入产程组（79例），对其临床资料进行分析。结果阴道分娩组产妇产后出血和平均住院时间较剖宫产组减少， P＜0.05，差异具有统计学意义；产妇产后感染率、新生儿感染率、新生儿窒息率较剖宫产组降低，P＜0.05，差异具有统计学意义；进入产程组手术时间、产后出血量较未进入产程组减少，P＜0.05，差异具有统计学意义；产妇产后感染率降低，P＜0.05，差异具有统计学意义；2组新生儿感染率、新生儿窒息率比较，P＞0.05，差异不具有统计学意义。结论再次妊娠产妇可根据自身情况在严密监测下选择经阴道试产，以改善妊娠结局，对于再次剖宫产者应掌握手术时机，提高分娩质量。
목적：탐색부궁산술후재차임신산부분면시간화분면방식적선택。방법선택2012년1월～2015년1월우아원취진적220례행부궁산후재차임신적산부작위연구대상，근거분면방식불동이분위음도분면조（76례）화부궁산조（144례），부궁산조근거수술시궤불동분위진입산정조（65례）화미진입산정조（79례），대기림상자료진행분석。결과음도분면조산부산후출혈화평균주원시간교부궁산조감소， P＜0.05，차이구유통계학의의；산부산후감염솔、신생인감염솔、신생인질식솔교부궁산조강저，P＜0.05，차이구유통계학의의；진입산정조수술시간、산후출혈량교미진입산정조감소，P＜0.05，차이구유통계학의의；산부산후감염솔강저，P＜0.05，차이구유통계학의의；2조신생인감염솔、신생인질식솔비교，P＞0.05，차이불구유통계학의의。결론재차임신산부가근거자신정황재엄밀감측하선택경음도시산，이개선임신결국，대우재차부궁산자응장악수술시궤，제고분면질량。
Objective To explore the choice of delivery time and delivery mode of the pregnant women after cesarean section. Methods Selected 220 cases with underwent cesarean section pregnancy maternal from January 2012 to January 2015 in our hospital as clinical research, according to the different modes divided into vaginal delivery group (76 cases) and caesarean section group (144 cases). The caesarean section group divided into stages of labor group (65 cases) and no stages of labor group (79 cases) as the different operation opportunity. Analyzed the clinical data. Results The vaginal delivery group of postpartum hemorrhage and the average hospitalization time is caesarean birth group was decreased, postpartum infection rate, neonatal morbidity and neonatal asphyxia rate was caesarean birth group decreased, P<0.05, had difference statistically significance. Enter the labor group operation time, the amount of postpartum hemorrhage was not to enter the labor group decreased, P<0.05, had difference statistically signiifcance, postpartum infection rate was decreased, P<0.05, had difference statistically significance, and two groups of neonatal infection rate, neonatal asphyxia rate was no different, P<0.05 , P>0.05, had no difference statistically signiifcance. Conclusion Pregnant again women according to their own situation under close monitoring of choice of vaginal to improve pregnancy outcome, for again cesarean section should grasp the timing of surgery, to improve the quality of delivery.