四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
8期
1168-1170
,共3页
瘢痕子宫妊娠%阴道试产%剖宫产
瘢痕子宮妊娠%陰道試產%剖宮產
반흔자궁임신%음도시산%부궁산
scar uterine pregnancy%vaginal trial production%cesarean section
目的 对比分析瘢痕子宫妊娠不同分娩方式对母婴预后的影响. 方法 选择我院176例瘢痕子宫妊娠孕妇为研究对象,观察产后24h出血量、子宫破裂发生率、产褥感染发生率、新生儿窒息率. 结果 176瘢痕子宫妊娠孕妇, 88例阴道试产,68例分娩成功;对照组100例阴道试产,81例分娩成功. 瘢痕子宫阴道试产组与剖宫产组比较,产后24h出血量、产褥感染发生率均少于剖宫产组,差异有统计学意义(P<0. 05),且住院天数短于剖宫产组,差异有统计学意义(P<0. 05). 新生儿5min Apgar 评分比较差异无统计学意义(P>0. 05). 结论 瘢痕子宫妊娠行阴道试产具有出血量少,母婴并发症少等显著优点,临床上可在严格掌握瘢痕子宫阴道试产相关适应症的基础上,在产程严密监护下行阴道试产.
目的 對比分析瘢痕子宮妊娠不同分娩方式對母嬰預後的影響. 方法 選擇我院176例瘢痕子宮妊娠孕婦為研究對象,觀察產後24h齣血量、子宮破裂髮生率、產褥感染髮生率、新生兒窒息率. 結果 176瘢痕子宮妊娠孕婦, 88例陰道試產,68例分娩成功;對照組100例陰道試產,81例分娩成功. 瘢痕子宮陰道試產組與剖宮產組比較,產後24h齣血量、產褥感染髮生率均少于剖宮產組,差異有統計學意義(P<0. 05),且住院天數短于剖宮產組,差異有統計學意義(P<0. 05). 新生兒5min Apgar 評分比較差異無統計學意義(P>0. 05). 結論 瘢痕子宮妊娠行陰道試產具有齣血量少,母嬰併髮癥少等顯著優點,臨床上可在嚴格掌握瘢痕子宮陰道試產相關適應癥的基礎上,在產程嚴密鑑護下行陰道試產.
목적 대비분석반흔자궁임신불동분면방식대모영예후적영향. 방법 선택아원176례반흔자궁임신잉부위연구대상,관찰산후24h출혈량、자궁파렬발생솔、산욕감염발생솔、신생인질식솔. 결과 176반흔자궁임신잉부, 88례음도시산,68례분면성공;대조조100례음도시산,81례분면성공. 반흔자궁음도시산조여부궁산조비교,산후24h출혈량、산욕감염발생솔균소우부궁산조,차이유통계학의의(P<0. 05),차주원천수단우부궁산조,차이유통계학의의(P<0. 05). 신생인5min Apgar 평분비교차이무통계학의의(P>0. 05). 결론 반흔자궁임신행음도시산구유출혈량소,모영병발증소등현저우점,림상상가재엄격장악반흔자궁음도시산상관괄응증적기출상,재산정엄밀감호하행음도시산.
Objective To analysis the different effects on mother and infants of different childbirth way of scar uterus pregnancy. Methods 176 cases of uterine scar hospital pregnant women were chosen for the study, 24 hours post-partum hemor-rhage, the incidence of uterine rupture, the incidence of puerperal infection, neonatal asphyxia were observed. Results 88 cases of vaginal trial production, 68 cases of successful delivery, the control group of 100 cases of vaginal trial production, 81 cases of successful delivery. Uterine scar vaginal trial production group and cesarean group, 24 hours postpartum hemorrhage, puerperal in-fection rate of less than cesarean section group ( P<0. 05 ) , and the length of hospital stay was shorter than the cesarean section group(P<0. 05). Apgar score 5 min difference was not statistically significant(P>0. 05). Conclusion Uterine scar pregnancy va-ginal trial production had less bleeding, less maternal complications and other significant advantages, in strictly related to uterine scar vaginal trial production on the basis of the indications in the labor intensive care downside vaginal clinical trial production.
