摘要
目的:探讨阴道试产在瘢痕子宫不同再次分娩方式的应用及临床效果分析。方法:选取2014年3月-2016年3月本院收治的瘢痕子宫再次分娩产妇160例,根据分娩方式的不同分为瘢痕子宫阴道试产组(观察组,n=80),瘢痕子宫剖宫产组(对照组,n=80),另选取本院同期非瘢痕子宫阴道分娩的产妇为对照二组(n=80)。分别比较三组分娩时间与住院时间、母体出血量、并发症发生率,产后行宫腔常规检查,观察观察组与对照组是否出现子宫破裂情况,并观察三组新生儿窒息的发生率,采用Apgar新生儿评分法对新生儿的健康情况进行评价。结果:观察组分娩时间与住院时间均短于对照组(P<0.05),与对照二组相比差异均无统计学意义(P>0.05);观察组母体出血量比对照组少,并发症发生率与对照组相比降低(P<0.05),且观察组出血量及并发症发生率与对照二组相比差异均无统计学意义(P>0.05);观察组与对照组均未出现子宫破裂;三组新生儿窒息发生率比较,差异均无统计学意义(P>0.05);观察组Apgar新生儿评分优于对照组(P<0.05),而观察组新生儿窒息发生率及Apgar新生儿评分与对照二组相比差异均无统计学意义(P>0.05)。结论:阴道试产在瘢痕子宫再次分娩中应用是安全可行的,它能有效降低并发症发生率,缩短产程及住院时间,不影响母体及新生儿安全,符合阴道试产指征的产妇可积极采取阴道试产,降低剖宫产率。
Objective：To explore the application and clinical effect of vaginal uterine in different uterine scar again delivery mode.Method：A total of 160 cases of pregnant women with scar uterus in our hospital from March 2014 to March 2016 were selected.According to the different mode of delivery of scar uterus vaginal delivery group（the observation group,n=80）,scar uterus production group（the control group,n=80）.Another selection of the same period of non scar uterus vaginal delivery of maternal 80 cases as the second control group.The delivery time,length of stay,maternal bleeding and complication rate of three groups were compared.Postpartum uterine routine examination,the observation group and the control group whether uterine rupture occurred in the situation.The incidence of neonatal asphyxia was observed in the three groups,and the health status of the newborn was evaluated by Apgar method.Result：The delivery time and length of stay of the observation group were shorter than those of the control group（P〈0.05）,and there were no differences between the observation group and the second control group（P〉0.05）.The maternal hemorrhage rate of the observation group was less than that of the control group,the incidence rate of complications was lower（P〈0.05）,and there were no differences between the observation group and the second control group（P〉0.05）.The observation group and the control group had no uterine rupture.Neonatal asphyxia incidence of three groups was no differences（P〉0.05）,Apgar score of the observation group was better than that of the control group（P〈0.05）,and neonatal asphyxia rate and neonatal Apgar score of the observation group compared with the second control group,there were no differences（P〉0.05）.Conclusion：Vaginal delivery in scar uterus again during delivery is safe and feasible,it can effectively reduce the incidence of complications,shorten the production process and time of hospitalization,does not affect the safety of mothers and newbor
出处
《中国医学创新》
CAS
2017年第2期109-112,共4页
Medical Innovation of China
基金
中山市科技计划项目(2014AIFC021)
关键词
瘢痕子宫
再次分娩
阴道试产
剖宫产
Scar uterus
Delivery again
Vaginal delivery
Cesarean section
