中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
57-58
,共2页
疤痕子宫%再次分娩%危险因素%预防
疤痕子宮%再次分娩%危險因素%預防
파흔자궁%재차분면%위험인소%예방
Scar uterus%Re-delivery%Risk factors%Prevention
目的：探讨疤痕子宫再次分娩的临床特点。方法整群选取2011年1月-2014年8月该院产科产妇共75例，均属于疤痕子宫再次分娩，作为该次研究对象，以是否发生大出血分成：50例大出血组和25例对照组。评价大出血组及对照组术中出血量及术中出血的危险因素。结果①大出血组及对照组孕龄、年龄差异无统计学意义（P>0.05）；②大出血组及对照组术中出血量分别为（668.4±64.5）mL、（232.5±38.2）mL差异有统计学意义（P<0.05）；③大出血组宫缩乏力、大出血、胎盘粘连、切口撕裂、胎盘植入、子宫破裂差异有统计学意义（P<0.05）；④根据Logistic多因素分析，独立危险因素包含有胎盘粘连、宫缩乏力、子宫破裂、胎盘植入、切口撕裂、再次怀孕时间约1年（P<0.01）。结论对于疤痕子宫再次分娩的产妇，需要积极干预术中出血的高危因素，从而降低术中出血风险。
目的：探討疤痕子宮再次分娩的臨床特點。方法整群選取2011年1月-2014年8月該院產科產婦共75例，均屬于疤痕子宮再次分娩，作為該次研究對象，以是否髮生大齣血分成：50例大齣血組和25例對照組。評價大齣血組及對照組術中齣血量及術中齣血的危險因素。結果①大齣血組及對照組孕齡、年齡差異無統計學意義（P>0.05）；②大齣血組及對照組術中齣血量分彆為（668.4±64.5）mL、（232.5±38.2）mL差異有統計學意義（P<0.05）；③大齣血組宮縮乏力、大齣血、胎盤粘連、切口撕裂、胎盤植入、子宮破裂差異有統計學意義（P<0.05）；④根據Logistic多因素分析，獨立危險因素包含有胎盤粘連、宮縮乏力、子宮破裂、胎盤植入、切口撕裂、再次懷孕時間約1年（P<0.01）。結論對于疤痕子宮再次分娩的產婦，需要積極榦預術中齣血的高危因素，從而降低術中齣血風險。
목적：탐토파흔자궁재차분면적림상특점。방법정군선취2011년1월-2014년8월해원산과산부공75례，균속우파흔자궁재차분면，작위해차연구대상，이시부발생대출혈분성：50례대출혈조화25례대조조。평개대출혈조급대조조술중출혈량급술중출혈적위험인소。결과①대출혈조급대조조잉령、년령차이무통계학의의（P>0.05）；②대출혈조급대조조술중출혈량분별위（668.4±64.5）mL、（232.5±38.2）mL차이유통계학의의（P<0.05）；③대출혈조궁축핍력、대출혈、태반점련、절구시렬、태반식입、자궁파렬차이유통계학의의（P<0.05）；④근거Logistic다인소분석，독립위험인소포함유태반점련、궁축핍력、자궁파렬、태반식입、절구시렬、재차부잉시간약1년（P<0.01）。결론대우파흔자궁재차분면적산부，수요적겁간예술중출혈적고위인소，종이강저술중출혈풍험。
Objective To investigate the clinical characteristics of re-delivery by scar uterine. Methods 75 pregnant women with scar uterine who underwent re-delivery in our hospital between January 2011 and August 2014 were selected as the research ob-ject and divided into massive hemorrhage group with 50 cases and control group with 25 cases according to suffering from massive hemorrhage or not. The intraoperative blood loss and its risk factors of the two groups were evaluated. Results ①There were no statistically significant differences in gestational age, age between the two groups (P>0.05); ②The intraoperative blood loss was (668.4±64.5)mL in the massive hemorrhage group and(232.5±38.2)mL in the control group, and the difference was statistically sig-nificant(P<0.05).③In terms of uterine inertia, massive hemorrhage, placenta adhesion, incision laceration, placenta increta, uterine rupture, the occurrence rates were all higher in the massive hemorrhage group than in the control group, and the differences were statistically significant (P<0.05); ④Logistic multifactorial analysis suggested that the independent risk factor for included placenta adhesion, uterine inertia, placenta increta, incision laceration, re-pregnancy within one year (P<0.01). Conclusion For pregnant women with scar uterine, intervention for high risk factor should be carried out in their re-delivery to induce the rate of hemor-rhage.
