中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
83-84
,共2页
阴道试产%中转剖宫产术%愈后%近期并发症
陰道試產%中轉剖宮產術%愈後%近期併髮癥
음도시산%중전부궁산술%유후%근기병발증
Try vaginal delivery%Transfer to cesarean section%Prognosis%The recent complications
目的：探讨阴道试产对产妇剖宫产结局的影响及不良预后的防治方法。方法：收治阴道试产失败中转剖宫产患者56例，收治择期剖宫产患者85例，比较两组手术时间，术中出血量，术后发热、腹胀、切口愈合情况，及术后肛门排气时间，新生儿出生后Apgar评分，术后住院天数。结果：阴道试产组手术切口感染率、产褥感染率、术后腹胀率明显增加，肛门排气时间延长，平均术后住院天数增加(P＜0.05)。结论：阴道试产失败中转剖宫产可导致术后近期并发症及不良预后明显增加。
目的：探討陰道試產對產婦剖宮產結跼的影響及不良預後的防治方法。方法：收治陰道試產失敗中轉剖宮產患者56例，收治擇期剖宮產患者85例，比較兩組手術時間，術中齣血量，術後髮熱、腹脹、切口愈閤情況，及術後肛門排氣時間，新生兒齣生後Apgar評分，術後住院天數。結果：陰道試產組手術切口感染率、產褥感染率、術後腹脹率明顯增加，肛門排氣時間延長，平均術後住院天數增加(P＜0.05)。結論：陰道試產失敗中轉剖宮產可導緻術後近期併髮癥及不良預後明顯增加。
목적：탐토음도시산대산부부궁산결국적영향급불량예후적방치방법。방법：수치음도시산실패중전부궁산환자56례，수치택기부궁산환자85례，비교량조수술시간，술중출혈량，술후발열、복창、절구유합정황，급술후항문배기시간，신생인출생후Apgar평분，술후주원천수。결과：음도시산조수술절구감염솔、산욕감염솔、술후복창솔명현증가，항문배기시간연장，평균술후주원천수증가(P＜0.05)。결론：음도시산실패중전부궁산가도치술후근기병발증급불량예후명현증가。
Objective:To investigate the effect of vaginal delivery on the outcome of maternal cesarean section and the methods of prevention and treatment of adverse prognosis.Methods:56 patients with cesarean section after the failer of vaginal delivery were selected.85 patients with elective cesarean section were selected.We compared the operation time,bleeding volume,postoperative fever,abdominal distension,wound healing,postoperative anal exhaust time,neonatal Apgar score,postoperative length of hospital stay of the two groups.Results:In trying vaginal delivery group,incision infection rate,rate of puerperal infection,postoperative abdominal distension rate were significantly increased,anal exhaust time was prolonged and the average postoperative hospital stay was increased(P<0.05).Conclusion:Transfering to cesarean section after the failer of vaginal delivery can increase the postoperative complications and adverse prognosis.
