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择期剖宫产与急症剖宫产的临床对比观察 被引量:4

Clinical Comparison of Elective Cesarean Section and Emergency Cesarean Section
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摘要 目的探究对比择期剖宫产与急症剖宫产特征。方法选取本院2014年5月~2016年8月间收治的200例剖宫产产妇,实验组(急症剖宫产)100例,对照组(择期剖宫产)100例,回顾性分析两组产妇一般资料,行腹膜内子宫下段剖宫产术,对比两组各手术指征与术中术后基本情况以及不良反应情况。结果实验组产妇臀位、瘢痕子宫、盆骨狭窄、胎儿宫内窘迫指征发生率低于对照组,差异具有统计学意义(P<0.05),宫缩乏力发生率高于对照组,差异具有统计学意义(P<0.05);对照组手术时间、出血量、肛门排气时间均高于对照组,差异具有统计学意义(P<0.05);实验组并发症发生率高于对照组,差异具有统计学意义(P<0.05)。结论急症剖宫产危险性更大,并发症多,而择期剖宫产更为安全,需加强并发症预防,改善母婴生存质量。 Objective To investigate the clinical features of emergency cesarean section and elective cesarean section. Methods A total of 200 women with cesarean section were retrospectively analyzed from May 2014 to August 2016. All sub-jects underwent intraperitoneal uterine segment cesarean section were divided into the experimental group (emergency cesare-an section) and control group (elective cesarean section) , 100 cases in each group. The surgical indications, intraoperative and postoperative basic conditions and adverse reactions were compared between the two groups. Results The incidence of bradycardia,scar uterus,pelvic stenosis,fetal distress indication in the experimental group was lower than that in the control group (P〈0. 05). The incidence of uterine inertia in the experimental group was higher than that of the control group (P〈0. 05). The operation time, blood loss and anal exhaust time of the control group were higher than those of the control group (P〈0 . 05). The incidence of complications in the experimental group was higher than that in the control group (P〈0 . 05). Conclusion Compared with emergency cesarean section, elective cesarean section is more secure, reduces complications, and improves the quality of maternal and child survival.
作者 陶丽平
出处 《临床研究》 2018年第1期69-71,共3页 Clinical Research
关键词 择期剖宫产 急症剖宫产 特征对比 elective cesarean section emergency cesarean section feature comparison
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