摘要
目的研究剖腹产术后再次妊娠产妇经阴道分娩的临床效果。方法从该院2017年2月—2019年2月收治的剖腹产术后再次妊娠产妇中随机抽取120例产妇,经计算机数字抽样法将其平均分为两组,即研究组(60例)与常规组(60例),常规组产妇采用剖宫产进行分娩,研究组产妇采用阴道分娩,对比产程时间、产后出血量、住院时间以及新生儿Apgar评分、产妇与新生儿状况。结果研究组产妇产后出血量为(652.18±134.15)mL、住院时间为(3.15±0.71)d均少于常规组(945.48±243.18)m L、(9.16±1.63)d,差异有统计学意义(t=8.180、26.184,P<0.05);研究组产妇产程时间为(6.13±1.28)h明显长于常规组(1.44±0.13)h,差异有统计学意义(t=28.236,P<0.05);两组新生儿的Apgar评分差异无统计学意义(t=0.741,P=0.460);两组产妇与新生儿的并发症(感染、窒息以及吸入性肺炎)发生率差异无统计学意义(χ^(2)=0.536、0.209、0.086,P=0.434、0.648、0.769);常规组新生儿出现黄疸的例数为10例,研究组为2例,常规组明显高于研究组,差异有统计学意义(χ^(2)=5.926,P=0.015)。结论剖腹产术后再次妊娠产妇应用引导分娩的方式具有较高的临床应用效果,对产妇及新生儿的预后有一定的改善作用,相比于剖宫产,阴道分娩具有更高的应用价值。
Objective To study the clinical effect of vaginal delivery for pregnant women after caesarean section.Methods From February 2017 to February 2019 in the hospital,120 pregnant women were randomly selected from the re-pregnant women after caesarean section.The computer digital sampling method was used to divide them into two groups,namely the study group(60 cases)and the routine group(60 cases),the mothers in the routine group were delivered by cesarean section,and the mothers in the study group were delivered by vagina.The labor time,postpartum hemorrhage,hospital stay,Apgar score,maternal and newborn status were compared.Results The amount of postpartum hemorrhage in the study group was(652.18±134.15)mL and the length of hospitalization was(3.15±0.71)d were less than those in the routine group(945.48±243.18)mL and(9.16±1.63)d.The difference was statistically significant(t=8.180,26.184,P<0.05);the maternal delivery time of the study group was(6.13±1.28)h significantly longer than that of the routine group(1.44±0.13)h,and the difference was statistically significant(t=28.236,P<0.05).Apgar scores of the two groups of newborns had statistically significant(t=0.741,P=0.460);the difference in the incidence of complications(infection,asphyxia,and aspiration pneumonia)between the two groups of mothers and newborns was not statistically significant(χ^(2)=0.536,0.209,0.086,P=0.434,0.648,0.769);the number of neonatal jaundice in the routine group was 10 cases,and the study group was 2 cases.The routine group was significantly higher than the study group,and the difference was statistically significant(χ^(2)=5.926,P=0.015).Conclusion The guided delivery method for pregnant women after caesarean section has a high clinical application effect,and has a certain effect on improving the prognosis of women and newborns.Compared with caesarean section,vaginal delivery has higher application value.
作者
赵显学
ZHAO Xianxue(Department of Obstetrics and Gynecology,Maternal and Child Health and Family Planning Service Center of Juye County,Juye,Shandong Province,274900 China)
出处
《系统医学》
2021年第7期148-151,共4页
Systems Medicine
关键词
剖腹产术后
再次妊娠
阴道分娩
临床效果
After caesarean section
Second pregnancy
Vaginal delivery
Clinical effect
